Multiple Organ Failure Clinical Trial
Official title:
"Analyses on the Effectiveness and Technical Optimization of Therapeutic Plasma Exchange for Patients With Septic Shock, With Special Emphasis on Influencing the Kidney, Liver and Nervous System Through the Extracorporeal Therapy"
Therapeutic plasma exchange (TPE) should used for patients with septic shock in a controlled, prospective study focusing on the organ functions of the patients.
Therapeutic plasma exchange (TPE) should used for patients with septic shock in a controlled,
prospective study.
Investigators will study three groups:
1. untreated control group;
2. TPE group, plasma separation carried out by filtration;
3. TPE group, plasma separation carried out by centrifugation.
All treated patients should treated two (minimal) to five times by TPE, depending on the need
of norephinephrine for the therapy. For each session 40 ml/kg body weight plasma should be
exchange. Fluid resuscitation will be done with fresh frozen plasma. The study will focusing
on the organ functions of the patients, especially liver-, kidney- and nervous function and
also displayed in the SOFA score on study days 3 and 7.
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