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Clinical Trials/CTRI/2023/05/052965
CTRI/2023/05/052965
Not yet recruiting
未知

Effectiveness of a protocolized de-resuscitation with VExUS scoring along with a standard protocol as compared to a standard protocol alone on the cumulative fluid balance in sepsis patients: A prospective observational study.

Kovai Medical Centre Hospital0 sites0 target enrollmentTBD

Overview

Phase
未知
Intervention
Not specified
Conditions
Health Condition 1: B95-B97- Bacterial and viral infectious agents
Sponsor
Kovai Medical Centre Hospital
Status
Not yet recruiting
Last Updated
2 years ago

Overview

Brief Summary

No summary available.

Registry
who.int
Start Date
TBD
End Date
TBD
Last Updated
2 years ago
Study Type
Observational

Investigators

Sponsor
Kovai Medical Centre Hospital

Eligibility Criteria

Inclusion Criteria

  • All patients admitted in the ICU with suspected sepsis as the primary cause of their acute illness as exhibited by 2 or more of the following.
  • Systemic Inflammatory Response Syndrome (SIRS) criteria:
  • â?ª Temperature of \> 38 C or \< 36 C
  • â?ª Heart rate of \> 90/min
  • â?ª Respiratory rate of \> 20/min or PaCO2 \< 32 mm Hg
  • â?ª White blood cell count \> 12000/mm3 or \< 4000/mm3 or \>10% immature bands.
  • â?ª Known or suspected infection at the time of screening
  • â?ª Those patients in ICU within 24 hours of identification or suspicion of sepsis

Exclusion Criteria

  • â?ª Patients with conditions that may interfere with portal Doppler assessments such as cirrhosis or portal thrombosis
  • â?ª Patients with severe chronic kidney disease (estimated glomerular filtration rate \<15 mL/min per 1\.73 m2 calculated using the Modified Diet in Renal Disease formula).
  • â?ª Age \< 18 years
  • â?ª Hemodynamic instability due to active haemorrhage
  • â?ª Acute cerebral vascular event
  • â?ª Acute coronary syndrome (excluding elevated troponin thought to be from demand ischemia)
  • â?ª Burn patients
  • â?ª Those who had cardiac arrest within 24 hours of enrolment and ROSC attained by CPR
  • â?ª Pregnancy patients
  • â?ª Patients with difficulty in obtaining ultrasound images of sufficient quality to calculate VExUS scoring

Outcomes

Primary Outcomes

Not specified

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