RecruitingNCT03948048

Study on the Efficacy and Timing of ECMO Therapy in Children With Refractory Septic Shock

Study on the Efficacy and Timing of Extracorporeal Membrane Oxygenation (ECMO) Therapy in Children With Refractory Septic


Sponsor

Children's Hospital of Fudan University

Enrollment

60 participants

Start Date

Aug 1, 2020

Study Type

OBSERVATIONAL

Conditions

Summary

Severe sepsis and septic shock remain the leading causes of child mortality worldwide. Sepsis is a complex process that ultimately leads to circulation disorders, organ perfusion abnormalities, capillary leakage, tissue hypoxia, and organ failure. The difficulty of clinical treatment is microcirculation and mitochondrial dysfunction in septic shock. Once shock enters the stage of microcirculation failure, conventional treatment is ineffective. ECMO can effectively support the circulatory system and provide good oxygen delivery, but there are many controversies in clinical treatment. 1) whether ECMO can effectively improve the clinical prognosis of children with septic shock; 2) appropriate timing for ECMO intervention; 3) which key clinical factors affect the effect of ECMO treatment. This study intends to adopt a multi-center, prospective, non-randomized controlled trial design, and the main research hypothesis is whether ECMO treatment can improve the success of discharge survival of children with septic shock.


Eligibility

Min Age: 29 DaysMax Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study examines the use of ECMO (extracorporeal membrane oxygenation) — a machine that takes over the work of the heart and lungs — in critically ill children with severe respiratory failure. ECMO is a last-resort life-support technology for children whose lungs or heart are failing despite all other treatments. The study looks at outcomes and investigates the optimal timing for starting ECMO therapy. By studying when ECMO is most beneficial and what patient characteristics predict success, researchers hope to create better guidelines that save more young lives. This is important because ECMO is resource-intensive and carries risks, so knowing exactly when and how to use it matters enormously. You may be eligible if: - You are a child (pediatric patient) with severe respiratory failure - You are being treated in an intensive care unit - Standard respiratory support has been insufficient You may NOT be eligible if: - There are underlying conditions that make ECMO contraindicated (e.g., terminal illness, severe brain damage) - Parental or guardian consent cannot be obtained - You are not a pediatric patient Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DEVICEECMO

ECMO is used to intervene septic shock and refractory septic shock


Locations(1)

Children'S Hosptial of Fuan University

Shanghai, China

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NCT03948048


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