Using Sodium Lactate Ringer's Injection Resuscitate Septic Shock Patients

Chinese Academy of Medical Sciences & Peking Union Medical College

Status: Unknown

Conditions: Severe Sepsis With Septic Shock; Lactate

Treatments: Drug: Compound Sodium Chloride Injection (CR Double-Crane, Beijing, China); Drug: sodium lactate Ringer's injection(Baxter, ShangHai, China)

Study type: Interventional

Funder types: Other

Identifiers

NCT02449928

PekingUMCH

Details and patient eligibility

About

Using sodium lactate Ringer's injection resuscitate septic shock patients and Compared with other solution, in order to make clear whether can improve the prognosis.

Full description

Experimental evidence repeatedly demonstrated that the shock patients can use substrates other than glucose to sustain increased activity, including lactate.Increased lactate can be the consequence of anaerobic metabolism, i.e., the formation of lactate in the presence of low oxygen. However, emerging evidence demonstrated that in patients with sepsis increased lactate seems predominantly non-hypoxic/ischemic and rather the consequence of increased glycolysis. Utilization of lactate as an alternative fuel may be an adaptive response to maximize energy function and limit substrate reduction.Uptake of exogenous lactate has indeed been demonstrated after traumatic brain injury and acute heart failure in humans.

The investigators assume that administration of supplemental lactate significantly contributes to energy metabolism in septic shock, which can have beneficial help for septic shock resuscitation.

Inclusion criteria:diagnosis in patients with septic shock and age 18 years old or more. Exclusion criteria: pregnant women and nursing mothers, severe liver failure with child class C , use linezolid anti-infection treatment, pheochromocytoma patients, CVVH therapy patients, malignant tumor patients, using epinephrine.

The investigators will use sodium lactate Ringer's injection resuscitate septic shock patients and Compared with other solution, the organ function monitoring include heart, kidney,and brain. Others study endpoints include 28-day mortality,hospitalized mortality.

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• diagnosis in patients with septic shock

Exclusion criteria

• pregnant women and nursing mothers
• severe liver failure with child class C
• using Linezolid
• pheochromocytoma
• hematologic malignancy
• using epinephrine
• during CVVH treatment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

lactate group,

Active Comparator group

Treatment:

Drug: sodium lactate Ringer's injection(Baxter, ShangHai, China)

control group

Active Comparator group

Treatment:

Drug: Compound Sodium Chloride Injection (CR Double-Crane, Beijing, China)