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To evaluate the role of electrical cardiometry for assessing response to fluid administration by measuring cardiac output before and after raising the leg in patients with sudden fall in blood pressure or with signs of low blood pressure and to compare it with transthoracic echocardiography

Not Applicable
Conditions
Health Condition 1: I959- Hypotension, unspecified
Registration Number
CTRI/2021/03/031921
Lead Sponsor
Department of Anaesthesiology Pain Medicine and Critical Care AIIMS NEW DELHI
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Patients (18-65 years) with an arterial catheter in situ, on controlled mechanical ventilation and at least one of the following signs of circulatory failure:

1.systolic blood pressure <= 90 mmHg or fall > 50 mm Hg in previously hypertensive patients

2.The requirement of vasopressor drugs

3.urine output <= 0.5 ml/kg/hr during at least two hours

4.Heart rate > 100 beats/minute

5.Presence of skin mottling or delayed capillary refilling ( > 3 seconds)

Exclusion Criteria

1. age <18 years and >65 years

2. pregnancy

3. patient with arrhythmias

4. known case of heart failure on treatment

5. patients with lower limb amputation

6. patient with valvular heart diseases

7. contraindications to performing PLR (Lower limb DVT, Limb/pelvic fracture, abdominal surgeries, intra-abdominal hypertension, intracranial hypertension

8. presence of wound/dressing in the neck

9. difficulty in getting adequate echo window (morbid obese[BMI > 40 Kg/square metre],chest wall trauma)

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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