The Validity of the Ratio of Femoral Vein Diameter to Femoral Artery Diameter to Predict Fluid Responsiveness in Children
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 85
- 试验地点
- 1
- 主要终点
- Measurement of changes in the ratio of femoral vein diameter to femoral artery diameter
研究概览
简要总结
The hypothesis of the study will be that the ratio of femoral vein diameter to femoral artery diameter will have correlation with fluid status in pediatrics.
详细描述
Proper administration of intravenous fluids is an important part of treating circulatory failure in children and affects the clinical outcome of the management of the child's emergency. Giving a small amount of fluid will cause tissue hypoperfusion and worsen organ dysfunction and cause ischemia. On the other hand, excess fluid interferes with oxygen delivary, exacerbates treatment outcomes, increases complications, and extends both the length of the stay in intensive care and mortality. The use of bedside ultrasound by pediatric intensive care physicians has become so critical in recent years that it is now a component of physical examination in ICUs
研究设计
- 研究类型
- Observational
- 观察模型
- Case Crossover
- 时间视角
- Prospective
入排标准
- 年龄范围
- 2 Years 至 10 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •children with American society of anaesthesiologist physical status 1-2
- •2-10 years of age
- •scheduled for elective surgery
- •signs of moderate to severe dehydration
排除标准
- •Patients with mild dehydration.
- •Patients with history of significant comorbid conditions or previous laparotomy.
- •Congenital heart disease.
- •Heart failure.
- •Disorder of venous return like arteriovenous fistula, DVT or Varicose veins.
- •Increase intra-abdominal pressure.
结局指标
主要结局
Measurement of changes in the ratio of femoral vein diameter to femoral artery diameter
时间窗: immediate preoperative period before the induction of general anesthesia
Measurement of changes in the ratio of femoral vein diameter to femoral artery diameter before and after fluid challenge which will be defined as infusion of ringer lactate 10 ml/kg body weight over 20 min.
次要结局
未报告次要终点
研究者
tarek abdel hay mostafa
principle investigator
Tanta University