Septic Shock Clinical Trial
Official title:
Dexmedetomidine Improve Microcirculatory Alterations in Initial Resuscitated Septic Shock Patients
Dexmedetomidine was found might be beneficial to sepsis. Dexmedetomidine were found to improve microcirculation in sepsis animal studies and non-sepsis patients. However, the effect of dexmedetomidine on microcirculation in septic shock patients is unknown.
Septic shock is characterized by significant decline in vascular response and relative
hypovolemia. Fluids and exogenous catecholamines are mainstay. However, even after initial
resuscitation, microcirculatory dysfunctions still exist, and represent a direct physiologic
link to organ failure and death. Therefore, therapeutic strategies aiming at improving
microcirculation are performed.
Dexmedetomidine was found might be beneficial to sepsis. Dexmedetomidine were found to
improve microcirculation in sepsis animal studies and non-sepsis patients. However, the
effect of dexmedetomidine on microcirculation in septic shock patients is unknown.
Based on the hypothesis that dexmedetomidine might improve microcirculation in initial
resuscitated septic shock patients, the study was to investigate the effects of
dexmedetomidine on microcirculation in early septic shock patients despite initial
resuscitation. Meanwhile, to observe the possible mechanism of the effect, the correlation
between dexmedetomidine dose and microcirculatory parameters as well as catecholamine level
were performed.
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