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Finger capillary refilling time variations to evaluate effects of fluid administration in critically ill patients

Not Applicable
Conditions
Hypovolemia (loss of blood volume) in critically ill patients
Nutritional, Metabolic, Endocrine
Volume depletion
Registration Number
ISRCTN58464956
Lead Sponsor
Centre Hospitalier Universitaire Brugmann
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
100
Inclusion Criteria

1. Central venous line present in internal jugular vein and arterial line
2. PvaCO2 >6mmHg

Exclusion Criteria

1. Age <18 years
2. Extracorporeal membrane oxygenation (ECMO) support
3. Interventions within 15 minutes before FB: increase inotrope dosage, introduction of mechanical ventilation
4. Arterial or venous PCO2 >75mmHg before or after FB
5. FB for acute bleeding
6. Admission to ICU or hemodynamic instability for less than 6 hours
7. Interventions (i.e. changes in ventilator parameters, change in the dose of inotropes) within 1h before FB
8. Severe peripheric vasoconstriction or hypothermia: not possible to evaluate peripheral saturation with pulse oximetry

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<br> Measured before, during, and after intake of the fluid bolus:<br> 1. Capillary refilling time measured using a chronometer<br> 2. PvaCO2 measured using blood gas analysis with using blood gas analysis devices (RAPID Point 500®; Siemens Health-care Limited, Germany)<br>
Secondary Outcome Measures
NameTimeMethod
<br> Measured before, during, and after intake of the fluid bolus:<br> 1. Cardiac index measured with transthoracic echocardiography<br> 2. Mean arterial pressure measured using sphygmomanometer<br>
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