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The role of mean systemic filling pressure and incubator tilt induced etCO2 change for the prediction of fluid responsiveness in neonates - a feasibility study

Conditions
Hypovolemia
low volume
10019280
10028920
Registration Number
NL-OMON38430
Lead Sponsor
niversitair Medisch Centrum Sint Radboud
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
20
Inclusion Criteria

• Arterial catheter in place, well functioning with the tip positioned in the radial artery or posterior tibial artery (for Pmsf measurement)
• Mechanical ventilation with capnography (for ΔetCO2 assessment)
• Informed consent obtained from parents or representatives
• Steady state as judged by the attending physician

Exclusion Criteria

• Life-threatening congenital defects
• Perinatal asphyxia
• Intraventricular hemorrhage > grade 1
• Central venous catheter of peripheral infusion with administration of (cardiovascular) drugs, that can not be interrupted secondary to vascular occlusion for 30 seconds
• Condition in which an incubator tilt is contraindicated, such as for example external ventricular drainage;• Condition in which any handling is contraindicated

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The two study parameters are<br /><br>• The mean systemic filling pressure (Pmsf), assessed with an extremity<br /><br>occlusion test<br /><br>• The change in end-tidal carbon dioxide pressure (&Delta;etCO2) in response to a<br /><br>incubator tilting maneuver</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Not applicable</p><br>
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