Analgesia Nociception Index and Autonomic Nervous System Exploration During Continuous Renal Replacement Therapy in Intensive Care Patients.
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Critically Ill
- 发起方
- Hospices Civils de Lyon
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Percentage of changes in ANI.
- 状态
- 招募中
- 最后更新
- 3个月前
概览
简要总结
The Analgesia Nociception Index (ANI) reflects the balance between sympathetic and parasympathetic tone. It is based on a specific interpretation of the R-R interval variation. During fluid removal by net ultrafiltration in patients with fluid overload and continuous renal replacement therapy, some data suggest that haemodynamic variation could be induced by the autonomic nervous system. The study aims to investigate ANI variations in this context and their association with the haemodynamic variations observed.
研究者
入排标准
入选标准
- •Continuous renal replacement therapy in intensive care unit
- •Initiation of net ultrafiltration according to the protocol of the department or to EARLYDRY study (NCT 05817539) (3 criteria required):
- •Fluid overload \> 5% or peripheral oedema
- •Noradrenaline equivalent \<0.5μg/kg/min
- •No peripheral hypoperfusion
- •Invasive blood pressure monitoring
- •Central venous line in superior vena cava territory
- •Regular sinus rhythm
- •Patient awake or Richmond Agitation and Sedation Scale \> -3
排除标准
- •Ongoing administration of inotropes
- •Ongoing administration of beta blockers
- •Current administration of alpha-2 agonists
- •History of dysautonomia
- •Pregnant or breast-feeding woman
- •Mechanical circulatory assistance
- •Opposition to participate
- •Adults under legal protection
- •Persons deprived of their liberty by judicial or administrative decision
结局指标
主要结局
Percentage of changes in ANI.
时间窗: 6 hours after initiation of net ultrafiltration
Relative changes in ANI (averaged over 4 minutes (percentage)) between Hour 0 and Hour 6 of initiation of net ultrafiltration.