NCT03296891
Completed
Not Applicable
Randomized Point of Care Ultrasound Guided Resuscitation and Usual Care Comparison in the Management of Undifferentiated Shock: a Pilot Study
Western University, Canada1 site in 1 country50 target enrollmentSeptember 10, 2017
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Shock
- Sponsor
- Western University, Canada
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Recruitment rate
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
This project aims to determine the feasibility of conducting a randomized controlled trial investigating point of care ultrasound guided resuscitation compared with usual care in the management of shock at the Critical Care Trauma Centre (CCTC) in London Health Science Centre (LHSC).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients deemed by the clinician to be in shock for any reason and has 3 out of 4 of the following:
- •Lactate greater than or equal to 2.2 mmol/L
- •AKIN stage I or greater or Urine output less than 0.5 cc/hr
- •Altered level of consciousness due to shock or requiring invasive mechanical ventilation as a result of shock
- •Vasoactive agents required to maintain a mean arterial pressure greater than 65 mmHg.
Exclusion Criteria
- •Pregnant patients
- •Participants who have already undergone a PoCUS study (as defined in the protocol for this study) within the past 48 hours
- •Participants who have restrictions on their goals of care at the time of ICU admission (including patients refusing blood products).
- •Patients post cardiac arrest who are not obeying commands
Outcomes
Primary Outcomes
Recruitment rate
Time Frame: averaged over 48 week period (active recruitment taking place in 48 of those 52 weeks)
Number of patients who were successfully enrolled in the study per given week.
Secondary Outcomes
- Revoked deferred consent rate(28 days)
- Cumulative fluid balance(7 days)
- Protocol adherence rate(28 days)
- Vasoactive medication free days(28 days)
- Contamination rate(28 days)
- Ventilator free days(28 days)
- Acute Kidney Injury (AKIN) stage(7 days)
- Mortality(28 days)
- Successful randomization rate(28 days)
- ICU length of stay(28 days)
- Continuous renal replacement therapy free days(28 days)
Study Sites (1)
Loading locations...
Similar Trials
Withdrawn
Phase 1
Ultrasound Guided Emergency Physician Performed Erector Spinae Nerve Block for Rib Fracture AnalgesiaRib FracturesNCT04168710Yale University72
Active, not recruiting
Not Applicable
Feasibility Study of ExAblate Thalamotomy for Treatment of Chronic Trigeminal Neuropathic PainTrigeminal Neuropathic PainNCT03309813InSightec10
Completed
Phase 4
Genicular and Anterior Femoral Cutaneous Nerve Blocks for Total Knee ArthroplastyTotal Knee ReplacementGenicular Nerve BlockOpioid UseNCT05980546Hospital for Special Surgery, New York244
Terminated
Not Applicable
Trial of Ultrasound Guidance for Reduction of Pediatric Forearm FracturesForearm FractureUltrasoundNCT03097757Montefiore Medical Center4
Completed
Not Applicable
Randomized Controlled Clinical Study of Biplanar Ultrasound-guided Puncture of Lumbar InterforamenLumbar Disc HerniationPercutaneous Endoscopic Lumbar DiscectomyThree-dimension UltrasoundLearning CurvesNCT06315803Yi Mao76