Role of Echocardiography in Guiding Fluid Therapy in Shocked Patients With Impaired Cardiac Contractility in Emergency Department
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Alexandria University
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- LVOT VTI variability
Study Overview
Brief Summary
fluid therapy is one of the cornerstones in the management of shock but may result in iatrogenic fluid overload .The aim of this study was to assess the role of echocardiography in guiding fluid therapy in shocked patients with impaired cardiac contractility using straight leg raising test ,Inferior vena-cava collapsability index and Doppler imaging in Emergency Department in Alexandria main university hospital.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Sequential
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •shocked patient with impaired cardiac contractility
Exclusion Criteria
- •Trauma patients.
- •Patient with unstable arrhythmias.
- •Patients with lower limb amputation.
- •Mechanically ventilated patients.
- •Patients with prosthetic aortic valve.
- •Patients less than 18 years old
- •Pregnant.
Arms & Interventions
shocked patient with impaired cardiac contractility
Intervention: passive leg raising test and fluid challenge (Diagnostic Test)
Outcomes
Primary Outcomes
LVOT VTI variability
Time Frame: 15 minutes
variability of LVOT VTI to determine fluid responsiveness
Secondary Outcomes
No secondary outcomes reported
Investigators
Mostafa Gaber
assistant lecturer of emergency medicine
Alexandria University
