Status:

COMPLETED

Randomized Trial of Inhaled Nitric Oxide to Augment Tissue Perfusion in Sepsis

Lead Sponsor:

National Institute of General Medical Sciences (NIGMS)

Conditions:

Sepsis

Eligibility:

All Genders

14+ years

Phase:

PHASE3

Brief Summary

The purpose of this study is to determine whether inhaled nitric oxide is an effective treatment for microcirculatory dysfunction and acute organ system failure in the early stage of sepsis therapy.

Detailed Description

Sepsis is a common and devastating disease that is responsible for 215,000 deaths annually in the United States and is the leading cause of death in critically ill patients. Sepsis is now recognized a...

Eligibility Criteria

Inclusion

  • Confirmed or suspected infection (acute)
  • PLUS:
  • One or both of the following criteria for potential tissue hypoperfusion:
  • (2a) systolic blood pressure \<90 mmHg despite 30cc/kg intravenous crystalloid challenge, OR (2b) serum lactate \>4 mmol/L.

Exclusion

  • age \< 14 years
  • pregnancy
  • "Do Not Resuscitate" status (prior to enrollment)
  • active clinically significant bleeding of any etiology
  • status-post cardiac arrest
  • need for immediate surgery
  • inability to place a sublingual videomicroscopy probe under the tongue (e.g. inability to open the mouth or patient requirement of a high-flow face mask for supplemental oxygen \[although videomicroscopy can be performed in patients with an endotracheal tube or nasal cannula\])
  • \>24 hours elapsed since first documented evidence of meeting criteria for potential tissue hypoperfusion (2a or 2b above).
  • inability to obtain written informed consent

Key Trial Info

Start Date :

August 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2013

Estimated Enrollment :

49 Patients enrolled

Trial Details

Trial ID

NCT00608322

Start Date

August 1 2009

End Date

April 1 2013

Last Update

July 11 2013

Active Locations (1)

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1

Cooper University Hospital

Camden, New Jersey, United States, 08103