The Venous Excess Ultrasound (VExUS) grading to predict tolerance to fluid de-escalation in critically ill patients

Faculty of Medicine Ramathibodi Hospital, Mahidol University0 个研究点目标入组 65 人开始时间: 2024年4月9日最近更新: 2024年8月19日

适应症

试验速览

暂无简介。

•1.Adult patients (age 18 years and over) admitted in intensive care units (both medical and surgical ICU) of Ramathibodi Hospital
•2.Presence of fluid accumulation, defined as positive fluid balance 10% or more of body weight
•3.Hemodynamic stability, defined as
•a. Adequate tissue perfusion (capillary refilling time less than 3 seconds)
•b. Mean arterial pressure more than 65 mmHg with
•i.Clearing decreasing dose of vasopressor
•ii.Norepinephrine less than 0.2 mcg/kg/min
•iii.Arterial lactate level less than 2 mmol/L
•4.Need for fluid de-escalation, as decided by the attending physicians

•1.Patients who refused to participate in the study or withdraw from the study
•2.Patients who had severe chronic kidney disease (estimated glomerular filtration rate less than 15 mL/min per 1.73 m2 or in regular dialysis program) or renal transplantation
•3.Patients with obstacles to abdominal ultrasound include severe obesity (BMI of 40 or higher), having had abdominal surgery or having abdominal burn wounds in the positions that may impede ultrasound.
•4.Patients with previously known conditions that interfere with portal Doppler assessments (liver cirrhosis, portal vein thrombosis, or severe tricuspid regurgitation with structural heart disease)
•5.Pregnancy

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