Timing is everything: fluid challenge evaluation in septic shock
NCT ID NCT02116413
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 145 patients with septic shock to see if the time when doctors check if a fluid bolus worked changes the results. Patients received 500 ml of fluid over 10 minutes. The study found that some patients who seemed to respond right away were no longer responding 20 minutes later. This helps doctors understand the best time to evaluate treatment effectiveness.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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145 people
The number who actually took part.
- Start date
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May 2014
- Finished
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Jan 2016
- 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
The study population consists of patients admitted to intensive care, sedated and under controlled ventilatory support with septic shock criteria defined by severe sepsis associated with hypotension despite fluid resuscitation of 20-40 ml / kg and requiring vascular filling according to the following criteria: * oliguria \<0.5 ml / kg / h for at least 2h * skin mottling * Arterial Lactate \> 2 mmol / l * SvcO2 \<70% or SvO2 \<65% * Patient on noradrenaline. Severe sepsis is defined as a systemic inflammatory response associated with a suspected or proven infection and hypotension before filling, a lactate\> 4 mmol / l or organ dysfunction.
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * The patient has given his/hers consent or the patient is in an emergency situation (commitment to obtain the consent of the patient as soon as his/her condition permits) * Patient affiliated or beneficiary of a health insurance plan * Patient with septic shock: proven or suspected infection associated with hypotension or lactate\> 4 mmol / l or organ dysfunction. Hypotension despite fluid resuscitation of 20 to -40 ml / kg. * Patient under controlled mechanical ventilation * Patient requiring vascular filling according to the following criteria: * oliguria \<0.5 ml / kg / h for at least 2h * skin mottling * Arterial Lactate \> 2 mmol / l * SvcO2 \<70% or SvO2 \<65% * Patient on noradrenaline. Exclusion Criteria: * The patient is has in another interventional study that might change the results of this study within the past 3 months * The patient is under judicial protection, under tutorship or curatorship * The patient refuses to sign the consent * The patient is pregnant, parturient, or breastfeeding * Valvular pathology: grade III and IV aortic or mitral insufficiency * Non sinus electrocardiogram * Non-echogenic patient * Patient with any spontaneous breathing * Moribund patient
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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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APHM - Hôpital Nord
Marseille, 13915, France
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CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, 30029, France
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CHU d'Amiens - Hôpital Nord
Amiens, 80054, France
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CHU de Besançon - Hôpital Jean Minjoz
Besançon, 25030, France
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CHU de Caen - Hôpital Côte de Nacre
Caen, 14033, France
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CHU de Clermont Ferrand - Hôpital Estaing
Clermont-Ferrand, 63003, France
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CHU de Clermont Ferrand - Hôpital Gabriel-Montpied
Clermont-Ferrand, 63003, France
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CHU de Nantes - Hôpital Guillaume et René Laennec
Nantes, 44093, France
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CHU de Nice - Hôpital St-Roch
Nice, 06001, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- 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?
- A routine calcium reading could reveal how sick a sepsis patient really is