RecruitingNCT05586282

Role of Candidate Proteins in Capillary Leakage During Acute Circulatory Failure


Sponsor

Assistance Publique - Hôpitaux de Paris

Enrollment

380 participants

Start Date

Mar 20, 2023

Study Type

OBSERVATIONAL

Conditions

Summary

* Testing the association between circulating candidate proteins and the level of vascular leakage for three distinct forms of circulatory failure: cardiogenic shock, septic shock, and post-resuscitation syndrome. * Describing immuno-inflammatory profiles associated with massive vascular leakage during those three forms of circulatory failure in humans


Eligibility

Min Age: 18 Years

Inclusion Criteria19

  • Informed consent from patient or a legal representative/family member/close relative. The patient will be asked to give his/her consent for the continuation of the trial when his/her condition will allow.
  • Affiliation to social security (AME excluded)
  • Patient with one of the circulatory failures described below:
  • septic shock
  • cardiogenic shock
  • post-resuscitation syndrome
  • Cardiogenic shock:
  • Need for a catecholamine support to maintain mean arterial pressure\>65 mmHg, AND
  • Cardiac index \<2 L/min/m2 or left ventricular ejection fraction (LVEF)\<35%, AND
  • Lactate \>2.0 mmol/l
  • Post-resuscitation syndrome:
  • Cardiac arrest (absence of spontaneous respiration, palpable heartbeat, and responsiveness to stimuli\> 1 min) with a compatible electrocardiogram (asystole/pulseless electrical activity/ventricular tachycardia), AND
  • Need for a catecholamine support to maintain mean arterial pressure\>65 mmHg, AND
  • Lactate \>2.0 mmol/l
  • Septic shock:
  • Suspected or proven bacterial infection
  • Need for a vasopressor support to maintain mean arterial pressure\>65 mmHg
  • Lactate \>2.0 mmol/l
  • Cardiac index\>3L/min/m2 or LVEF\>40%

Exclusion Criteria3

  • Onset of shock (catecholamine infusion) \>12 hours prior to inclusion
  • Age \<18 year old
  • Pregnancy

Locations(1)

Hôpital Européen Georges Pompidou

Paris, France

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NCT05586282


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