The Impact of Point-of-Care Ultrasound

Completed

• Conditions: Ultrasound; Shock
• Interventions: Diagnostic Test: Ultrasound

• Registration Number: NCT03276364
• Lead Sponsor: Montefiore Medical Center

Brief Summary

Point-of-care ultrasound (POCUS) has been found to be useful for aiding in the prediction of fluid responsiveness. It is unknown if trainees can effectively utilize this tool to improve their assessment of fluid responsiveness.

In this prospective, observational study, pulmonary and critical care fellows are asked to make 2 assessments of fluid responsiveness in adults with shock: (1) based on clinical exam alone (Clinical) and (2) after performing a POCUS (Clinical + US). The accuracy of their pre- and post-ultrasound assessments are compared using a bioreactance monitor and passive leg raise test as the gold standard of fluid responsiveness in this study.

Detailed Description

Not available

Study Timeline

• Study Start: 2014-07-21
• Primary Completion: 2015-04-17
• Study Completion: 2015-04-17
• Status Verified: 2017-09
• Study First Submitted: 2017-09-06
• Study First Submitted QC: 2017-09-06
• Last Update Submitted: 2017-09-06
• Study First Posted: 2017-09-08
• Last Update Posted: 2017-09-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 112

Inclusion Criteria

• Adults age 18 or older admitted to the MICU with a diagnosis of shock while a fellow was on duty.

Exclusion Criteria

• None

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Shock	Ultrasound	-

Primary Outcome Measures

Name	Time	Method
Fluid responsiveness	Immediately subsequent to performance of a point-of-care ultrasound exam	Increase of stroke volume index greater than 10% following passive leg raise testing