Aim of the study is to reduce the incidence of RIFLE stadium L and E after acute kidney injury in patients with severe sepsis/septic shock
Patient with proved severe sepsis/septic shock, treated in accordance to actual sepsis guidelines, who develope akute kidney injury (RIFLE I) or kidney failure (RIFLE F), were randomized in two groups. One group is treated with CVVHD/ local citrat anticoagulation (standart clinical practice). The other group ist treated with an additional cytokine adsorber ( 300ml CytoSorb device, 3804606CE01) CytoSorb therapy is performed for 24h, then the adsorber is changed into a new device. Cytosorb therapy is stopped, when Interleukin 6 leves drop below 1000 pg/ml in patient serum.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
124
additional cytokine adsorber
Klinik für Anästhesiologie
München, Bavaria, Germany
RECRUITINGRIFLE stadium L or E after acute kidney injury related to sepsis
Time frame: 3 months
mortality
Time frame: 3 months
length of renal replacement therapy
Time frame: 3 months
SOFA score
Time frame: 3 months
cumulative dose of vasopressor support
Time frame: 4 weeks
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