The Effects of Different Lipid Emulsions on the Adipokines in Critically Ill Patients With Sepsis

Karadeniz Technical University

Status: Completed

Conditions: Sepsis

Treatments: Other: Olive oil-based intravenous fat emulsions; Other: Soybean-based intravenous fat emulsions

Study type: Observational

Funder types: Other

Identifiers

NCT04711564

23618724

Details and patient eligibility

About

Intravenous lipid emulsions contain a number of biologically active ingredients, but the most important are fatty acids. Different fatty acids can affect a number of different physiological processes in different ways in critically ill patients. Adipose tissue can play an important role in metabolic changes of critical illnesses and in adaptation to stress through structural as well as functional changes Although it is known that serum adipokine and cytokine response changes in critical sepsis patients, the factors affecting these changes and the metabolic consequences of these changes are not well defined. The aim of this study was to evaluate the effects of intravenous lipid emulsions on serum adipokine and cytokine levels in patients with sepsis. Secondly, this is to determine the adipokine and cytokine kinetics in the sepsis process and their relationship with mortality in patients with sepsis.

Enrollment: 40 patients

Sex: All

Ages: 18 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of sepsis within the last 24 h
• Age above 18 and below 85 years
• Indication of only parenteral nutrition therapy

Exclusion criteria

• Planning any different medical nutrition therapy such as enteral nutrition, immunonutrition or oral nutrition
• Hypersensitivity (fish, egg or soy protein)
• Uncontrolled hemorrhage
• Uncontrolled hyperlipidemia
• Severe primary blood coagulation diseases
• Acute pancreatitis
• Acute thromboembolic diseases
• Severe liver failure
• RIFLE stage III and IV renal failure
• Pregnancy or lactation
• Expected stay in ICU not more than 10 days
• Expected survival not more than 10 days

Trial design

40 participants in 2 patient groups

Provision of olive oil emulsions in PN

Description:

Olive oil-based (Oliclinomel: 80% OO, 20% LCT provided in a complete all-in-one PN bag by Baxter) parenteral nutrition

Treatment:

Other: Olive oil-based intravenous fat emulsions

Provision of soybean emulsions in PN

Description:

Soybean-based (Kabiven: 100% LCT provided in a complete all-in-one PN bag)

Treatment:

Other: Soybean-based intravenous fat emulsions