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临床试验/NCT04802668
NCT04802668已完成不适用

Factors Influencing the Reliability of Pulse Pressure Variation (PPV) as a Predictor of Fluid Responsiveness in Mechanically Ventilated Patients

Southeast University, China1 个研究点 分布在 1 个国家目标入组 189 人开始时间: 2021年3月20日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
189
试验地点
1
主要终点
cardiac output(CO)

研究概览

简要总结

The investigators studied the predictive value of PPV in the patients with different influencing factors;and the method to improve the predictive value,which can improve the application of PPV in ICU.

详细描述

PPV can be used to predict fluid responsiveness in patients with circulatory shock.However, it is affected by many factors, which leads to the decrease of the applicability of PPV in ICU.Therefore, the investigators studied the predictive value of PPV in the patients with different influencing factors;and the method to improve the predictive value,which can improve the application of PPV in ICU.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients requiring invasive mechanical ventilation
  • Acute circulatory failure,defined as:systolic blood pressure <90 mmHg or blood pressure in patients with previous hypertension lower than the baseline value> 40 mmHg; vasoactive drugs are required to maintain blood pressure (mean arterial pressure> 65 mmHg); with or without signs of hypoperfusion (oliguria<0.5ml.kg-1.h-1 for at least 2 hours; arterial blood lactic acid>2.5mmol.L-1; skin mottling)

排除标准

  • The age of the patient is less than 18 years old or more than 80 years old
  • Refuse to sign the informed consent to join the group
  • Atrial fibrillation and other arrhythmias that seriously affect the output per beat;
  • With pregnancy
  • Other situations where the clinician believes that the patient is not suitable for inclusion in the study

结局指标

主要结局

cardiac output(CO)

时间窗: 1 day

The measurement of cardiac output(CO);

次要结局

  • measurement of Hemodynamic variables from the monitor;(1 day)
  • measurement of airway pressure variables from ventilator(1 day)
  • Pocc(1 day)
  • measurement of Pulse pressure variation(PPV)from monitor;(Research period)
  • P 0.1(1 day)

研究者

发起方
Southeast University, China
申办方类型
Other
责任方
Principal Investigator
主要研究者

Ling Liu

Clinical Professor

Southeast University, China

研究点 (1)

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