Bedside ultrasound to detect excess lung water in haemodialysis patients

Not Applicable

• Conditions: Fluid overload in haemodialysis patients; Determining target weight in haemodialysis patients; Haemodynamic stability on haemodialysis; Renal and Urogenital - Kidney disease; Cardiovascular - Other cardiovascular diseases

• Registration Number: ACTRN12616001663448
• Lead Sponsor: Gold Coast University Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2016-12-02
• Last Update Posted: 13 January 2020

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

1. On haemodialysis three times a week
2. 18 years or over
3. Ability to consent
4. Have a set target weight
5. Outpatient
6. No clinical evidence of lower respiratory tract infection

Exclusion Criteria

Any one not meeting the inclusion criteria

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The expert operator - study radiologist, will be presented all the individual zone scans (480) recorded for blind interpretation. It will also be presented to the six novice operators (a minimum of one month after the last scan) for blind interpretation. The concordance between the expert and each of the raters, and whether any type of raters (eg specialist/trainees/nurses) have better concordance with expert ratings will be investigated.[End of the trial];Acceptability of the procedure to the patient on a scale of 1 to 5[End of the procedure];Acceptability of the procedure to the novice operators on a scale of 1 to 5[End of the trial]

Secondary Outcome Measures

Name	Time	Method
Proportion of positive lung scans post-haemodialysis<br><br>The lung scan is positive when there are 3 or more B lines are detected in two or more zones on one side of the lung, and in one or more zones on the contra-lateral side. A B line has five mandatory features:<br>- it arises from pleural line <br>- it is well defined (laser-beam-like)<br>- spreads to the edge of the screen without fading<br>- erases A lines<br>- moves with lung sliding[end of the trial];Correlation between weight loss on dialysis in kg (difference between pre- and post-dialysis weight) and the change in extent of lung water (overall result of the scan) pre- to post-dialysis will be evaluated.[End of the trial]