Efficacy of Lung Ultrasound in Monitoring Fluid Resuscitation in Chest Trauma Patients

Completed

• Conditions: Fluid Overload Pulmonary Edema; Lung Injury; Chest Trauma; Contusions Pulmonary

• Registration Number: NCT05054270
• Lead Sponsor: Assiut University

Brief Summary

Efficacy of Lung ultrasound in monitoring fluid resuscitation in chest trauma patients with lung contusions

Detailed Description

Trauma is a public health problem, associated to high morbidity and mortality, In Egypt the mortality from road traffic crashes is about 12000 victims per year.

* Chest trauma represents from 10% to 15% of the total number of traumas worldwide.

According to ATLS protocol , early diagnosis and management of Chest trauma are essential. \*Pulmonary contusion is found in 30-75% of cases of chest injury.

* point of care Ultrasound (POCUS) is Now a corner stone in Emergency management it can predict lung contusions within the first 72 hours after trauma.

* Recently, LUS Play a major role in assessment of the volume status in Trauma patients.

* B-lines score (BLS) has been validated as a lung ultrasound quantification of pulmonary congestion.The sum of all B-lines yields a score, B-lines score (BLS), which assess the degree of lung contusion. So that LUS may provide a valuable safety threshold to conduct fluid therapy.

Study Timeline

• Study First Submitted: 2021-06-02
• Status Verified: 2021-07
• Study Start: 2021-07-01
• Study First Submitted QC: 2021-09-22
• Study First Posted: 2021-09-23
• Primary Completion: 2022-06-01
• Study Completion: 2023-06-01
• Last Update Submitted: 2024-07-29
• Last Update Posted: 2024-07-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Age > 18 years.
• chest trauma patients either with or without other injuries.
• Any patient with either blunt or penetrating chest trauma.

Exclusion Criteria

• • Patients in cardiac arrest.
• Patient refusal to participate
• Pregnant females.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Number of patients with lung contusion	Upto 24 hours after trauma	Pulmonary edema will be detected by B_lines trauma patients with lung contusions

Secondary Outcome Measures

Name	Time	Method
Clinical correlation between Type & volume of Fluid & occurance of pulmonary edema. Correlation between severity of pulmonary lung contusion & The final disposition of the patients whatever (OR _another department _death….. etc) upto 24hr.	For first 24 hours after trauma	Follow up on degree of contusions after fluid resuscitation

Trial Locations

Locations (1)

Faculty of medicine Assiut University; 🇪🇬 Assiut, Egypt