Can a simple blood test spot hidden heart trouble during High-Pressure oxygen treatment?
NCT ID NCT07492030
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether a blood gas measurement (the difference in carbon dioxide between central venous and arterial blood) can accurately diagnose low cardiac output in patients with septic shock from severe skin infections. About 74 adults will be monitored during hyperbaric oxygen therapy. The goal is to see if this test works under high-pressure conditions, helping doctors detect heart problems faster.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 74 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jun 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult patients diagnosed with necrotizing dermo-hypodermitis who are receiving OHB treatment for the first time at the Regional Hyperbaric Oxygen Therapy Center at Lille University Hospital, a tertiary referral center where complementary hyperbaric oxygen therapy treatment for necrotizing dermo-hypodermitis in the Hauts-de-France region is centralized.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of necrotizing fasciitis complicated by septic shock as defined by the Surviving Sepsis Campaign * Indication for HBOT according to the criteria of the 2016 European Consensus Conference * Patient intubated and ventilated prior to the HBOT session, receiving intravenous sedation at doses sufficient to be in a passive ventilation state * Patient equipped with a central venous line in the superior vena cava allowing central venous blood gas analysis * Patient with an arterial catheter allowing arterial blood gas analysis Exclusion Criteria: * \- Minors * Pregnant women * Persons deprived of their liberty (prisoners, persons under guardianship or trusteeship) * Persons not affiliated with or not covered by a social security system * Patients on spontaneous ventilation * Patients without an echocardiographic assessment window (anechoic) * Severe ARDS according to the Berlin classification * Technical impossibility of sampling central arterial or venous blood * Absolute contraindication to hyperbaric oxygen therapy (undrained pneumothorax, unstable angina or acute myocardial infarction, severe asthma attack) * Relative contraindication to hyperbaric oxygen therapy * Respiratory: Chronic respiratory failure, severe pulmonary emphysema * Circulatory: Rhythm or conduction disorders * Neurological: uncontrolled epilepsy * ENT: sinusitis, otitis, chronic rhinitis; laryngocele; acute otitis media; osteospongiosis * Ophthalmic: retinal detachment
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Centre d'Oxygénothérapie Hyperbare du CHU de Lille
Lille, 59037, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Chilling fever: can cooling septic shock patients save lives?
- Bedside eye scans may reveal hidden blood flow problems in septic shock
- Can two blood markers catch sepsis before it turns deadly?
- Two cheap blood ratios put to the test as sepsis death predictors
- Can a bedside ultrasound predict which septic shock patients will stop breathing on their own?
- Can a computer model speed up sepsis blood tests?