This research is being done to see if a protocol (a set of orders that determine how much and how quickly a drug/fluid is given) for fluid and drugs used to increase blood pressure (vasopressors) will work better then general clinical practices to improve outcomes in patients with septic shock.
Septic shock is low blood pressure caused by an infection. Sepsis is the most common cause of death in non-cardiac intensive care units, and septic shock is the most severe form of sepsis. Treatment for septic shock includes giving antibiotics, intravenous fluids, and medications to raise the blood pressure (vasopressors). We would like to see if a protocol-driven management strategy for septic shock can shorten time on vasopressors and limit the number of side effects. We have constructed a protocol that will allow the nurse at the bedside, in conjunction with the physician's orders, to adjust the amount of fluids and medications that raise the blood pressure (vasopressors).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
70
A Physician Ordered, Nurse Administered Fluid and Vasopressor Protocol
Johns Hopkins Bayview Medical Center
Baltimore, Maryland, United States
RECRUITINGLength of vasopressor treatment
Time frame: within 90 days
Total number of vials vasopressors administered
Time frame: Within 90 days
Time on more than single vasopressor
Time frame: Within 90 days
Volume of intravenous fluids administered in first 7 days
Time frame: 7 days
Number of organ failures
Time frame: Within 90 days
ICU mortality rates
Time frame: Within 90 days
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