Comparison of CVP Values , ΔPP and Echocardiographic at Different Angles Headwaters Before and After Volume Challenge
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hypovolemic Shock
- Sponsor
- Federal University of Uberlandia
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Different Backrest position's effect on CVP, CO and ∆PP measures
- Last Updated
- 12 years ago
Overview
Brief Summary
The purpose of this study is to determine whether hemodynamic measures vary in angles bedside before and after volume challenge.
Detailed Description
* Check if values of central venous pressure (CVP), pulse pressure variation (Δpp), heart rate (HR), mean arterial pressure ((PAM) vary in different angles headboards * Compare values of CVP, Δpp, HR and MAP as predictors of blood volume after supply of 500 ml of 0.9% saline solution.
Investigators
Rosangela de Oliveira Felice
nursing specialist
Federal University of Uberlandia
Eligibility Criteria
Inclusion Criteria
- •Being in circulatory shock and have at least one of the following criteria to identify loss of tissue perfusion: systolic blood pressure \<90 mmHg or need for vasoactive drugs, urine output below 0.5 ml / kg / h.
- •Being under sedation, assessed by the scale of Richmond agitation and sedation (RASS) -5, mechanically ventilated in volume control mode with tidal volume between 8 to 12 ml/kg, PEEP to 8 cm H2O.
- •Tue signing the informed consent by legal guardian.
Exclusion Criteria
- •Presence cardiac arrhythmias.
- •Presence of abdominal or thoracic trauma.
- •Contraindication for passive elevation of the members.
- •Hypoxia significant PaO2/FiO2 \< or equal 100.
Outcomes
Primary Outcomes
Different Backrest position's effect on CVP, CO and ∆PP measures
Time Frame: Data collection was performed at admission or within 10 days of hospitalization between September 2013 and February 2014.