The goal of this clinical trial is to assess the effect of targeting upper normal serum magnesium levels on norepinephrine requirements in adult patients with septic shock. The main questions it aims to answer are: 1. Does maintaining upper normal serum magnesium levels lower the total cumulative dose and duration of norepinephrine therapy? 2. Does this approach reduce the intensive care unit (ICU) length of stay, duration of mechanical ventilation and mortality? This study will compare an intervention group to a control group to see the effect of targeting upper normal serum magnesium levels. Participants will: * Have their serum magnesium levels assessed at baseline (Day 0), at three-day intervals (Days 3, 6, 9) thereafter and on the day of norepinephrine discontinuation. * Receive individualized intravenous magnesium sulfate infusions to achieve and maintain the target serum magnesium levels. * Have their demographic data collected and be monitored closely for clinical data, vital signs, Mean Arterial Pressure (MAP), urine output and laboratory parameters.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
60
Intravenous magnesium sulfate infusions will be individualized and administered to achieve and maintain the target serum magnesium levels.
Patients will receive standard care required to maintain the target serum magnesium levels.
Alexandria Main University Hospital
Alexandria, Alexandria Governorate, Egypt
Total cumulative dose of norepinephrine
Total cumulative dose of norepinephrine administered to the patient, measured in µg/kg.
Time frame: Up to 60 days.
Duration of norepinephrine therapy
The time from the initiation of norepinephrine until discontinuation, measured in hours.
Time frame: Up to 60 days.
ICU length of stay
Length of stay in the ICU, measured in days.
Time frame: Up to 60 days.
Duration of mechanical ventilation
Duration of mechanical ventilation, measured in days.
Time frame: Up to 60 days.
Mortality
Time frame: Up to 60 days.
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