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Transcutaneous pO2, Transcutaneous pCO2 and Central Venous SO2 Variations to Define Fluid Responsiveness

Not Applicable
Completed
Conditions
Fluid Challenge
Shock
Hypotension
Fluid Responsiveness
Interventions
Other: fluid challenge
Registration Number
NCT01941472
Lead Sponsor
Peking Union Medical College Hospital
Brief Summary

Fluid challenge is often carried out in critical ill patients. Its responsiveness usually requires invasive monitoring. To use non-invasive methods is very tempting. Investigators hypothesize that transcutaneous pO2,transcutaneous pCO2 and Central Venous SO2 variations provide feasible estimation on fluid responsiveness in critical ill patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • 18 years and older ICU patients;
  • Septic shock;
  • Monitored with PICCO or Swan-Ganz catheter;
  • The decision of fluid challenge made by the treating physician;
Exclusion Criteria
  • Evidence of fluid overload;
  • Pregnancy

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Septic shockfluid challengeAdult patients (at least 18 years of age) with refractory hypotension secondary to sepsis who, at the discretion of treating physicians, required fluid challenge in the presence of invasive hemodynamic monitoring. Refractory hypotension was defined as need of vasopressors to maintain systolic blood pressure (SBP) no less than 90 mmHg despite adequate fluid resuscitation.
Primary Outcome Measures
NameTimeMethod
Fluid ResponsivenessImmediately after fluid challenge, average 5 minutes

Increase in cardiac index ≥ 10% after fluid challenge

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

MICU of Peking Union Medical College Hospital

🇨🇳

Peking, Beijing, China

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