A clinical study to understand the fluid responsiveness ofpatients in ICU using a bedside ultrasound parameter Caval Index which is measured in inferior vena cava.
- Conditions
- Health Condition 1: R578- Other shock
- Registration Number
- CTRI/2023/05/052510
- Lead Sponsor
- Dr S Vignesh
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Patients diagnosed as SEPSIS (Systemic Inflammatory Response Syndrome with a proven or suspected source of infection, based on the SIRS Criteria)
1.Patients were documented ascites.
2.Patients undergoing peritoneal dialysis.
3.Patients with history of liver transplantation.
4.Patients >20 weeks of pregnanc
5.Patients with Kussmaul breathing
6.Patients with Respiratory instability requiring intubation.
7.Patients with clinical signs of hemorrhage
8.Patients with arrhythmia
9.Patients with cardiogenic or obstructive shock
10.Patients whom there could be clinical risk from further intravenous fluid
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To estimate the Caval Index a non invasive bedside ultrasound parameter to predict fluid responsiveness in spontaneously breathing patients in the ICU immediately after admission.Timepoint: On minutes 0 and 15 of ICU admission
- Secondary Outcome Measures
Name Time Method 1)To evaluate the hemodynamic parameters (BP,MAP and Heart Rate) and other Ultrasound guided fluid response after fluid challenge test. <br/ ><br>2)To evaluate the changes in perfusion indicator(capillary refill time, serum lactate,ABG) within 24 hours of adequate fluid management.Timepoint: On 0 hour, 12 hour and 24 hour of ICU admission