CO2 clue may help doctors treat shock patients better
NCT ID NCT05032521
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether using a CO2-based algorithm to guide treatment of high lactate in patients with acute circulatory failure works better than standard care. 180 adults in intensive care were randomly assigned to either usual treatment or treatment guided by CO2 measurements. The main goal was to see if more patients in the CO2-guided group had a significant drop in lactate levels within 2 hours.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- standard drugs (vasopressors, inotropes, fluids) guided by a CO2-based algorithm
- What this could lead to
- If successful, this approach could help doctors choose the right treatment for shock patients with high lactate, potentially improving outcomes.
- What could go wrong
- This is a single-center, Phase 4 trial with 180 participants. The algorithm may not improve lactate clearance or patient outcomes, and results may not apply to all shock patients.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Chu Dijon Bourgogne
Dijon, 21000, France
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