Role of bedside echocardiography in cardiac function evaluation and treatment planning in septic shock patients
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 40
- 试验地点
- 1
研究概览
简要总结
Role of Bedside Echocardiography in Cardiac Function Evaluation and Treatment Planning in Septic Shock Patients
Septic shock is associated with significant cardiovascular dysfunction, including myocardial depression, altered preload, and abnormal vasoplegia, all of which contribute to high morbidity and mortality. Conventional clinical assessment and static hemodynamic parameters often fail to accurately identify the underlying cardiac abnormalities in these patients. Bedside echocardiography is a non-invasive, rapid, and repeatable tool that allows real-time assessment of cardiac structure and function, including left and right ventricular performance, volume status, and response to fluid resuscitation and vasoactive therapy.
This study aims to evaluate the role of bedside echocardiography in assessing cardiac function in patients with septic shock and its impact on guiding individualized treatment strategies. Echocardiographic parameters such as ventricular systolic function, chamber dimensions, inferior vena cava variability, and cardiac output will be assessed and correlated with therapeutic decisions, including fluid management and choice of vasoactive agents. The findings may help optimize hemodynamic management, prevent inappropriate fluid administration, and improve clinical outcomes in septic shock patients.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)(—)
- 性别
- All
入选标准
- •Patients age group of 18 to 70 years with sepsis having a transthoracic echocardiographic examination performed within 24 hrs of the onset of septic shock in the Department of Emergency Medicine VMKVMCH.
排除标准
- •Patient excluded if they had known pre-existing non-sepsis related cardiovascular compromise such as acute myocardial infarction, cardiogenic shock or a history of congestive heart failure with a left ventricle ejection fraction (LVEF) less than 40%; had a requirement for extracorporeal membrane oxygenation or a ventricular assist device Developed septic shock at an outside hospital where patient managed with vasopressor and intrav nous fluid prior to transfer.
研究者
ARUL NIVI P
VINAYAKA MISSIONS KIRUPANANDA VARIYAR MEDICAL COLLEGE AND HOSPITALS
