The Impact of Point-of-Care Ultrasound Performed by Trainees to Improve the Prediction of Fluid Responsiveness in Patients With Shock
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ultrasound
- Sponsor
- Montefiore Medical Center
- Enrollment
- 112
- Primary Endpoint
- Fluid responsiveness
- Status
- Completed
- Last Updated
- 8 years ago
Overview
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.
Investigators
Daniel G. Fein
Assistant Professor of Medicine
Montefiore Medical Center
Eligibility Criteria
Inclusion Criteria
- •Adults age 18 or older admitted to the MICU with a diagnosis of shock while a fellow was on duty.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Fluid responsiveness
Time Frame: Immediately subsequent to performance of a point-of-care ultrasound exam
Increase of stroke volume index greater than 10% following passive leg raise testing