Impact of a Multisystemic Ultrasound Protocol in Patients of Polyvalent Intensive Care Units
- Conditions
- Point of Care Ultrasound
- Interventions
- Behavioral: POCUS protocol groupOther: Control group
- Registration Number
- NCT03608202
- Lead Sponsor
- Asociacion Española Primera en Salud
- Brief Summary
Ultrasound is a widely used tool for clinicians to manage severe acute patients, seeking to improve the limitations of traditional physical examination and special studies that require patient transfers and can be harmful. This study aims to determine that a pre-established protocol of multiorganic point-of-care ultrasound can be beneficial performed systematically in a critical care patient, improving the diagnosis, detecting hidden anomalies, generating changes in therapy and guiding interventions. A multicenter, randomized controlled clinical trial, against a conventional therapy group is designed. The study group underwent an ultrasound protocol at the entrance of an ICU, of optic, pulmonary, cardiac, abdominal and guide of interventions.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 80
• Admitted to the ICU with the requirement of Ventilatory Mechanical Assistance, and admitted for trauma, sepsis, shock of any cause, and postoperative major surgery.
- More than 12 hours of previous hospitalization.
- Those who refuse to enter the protocol.
- Those considered by the treating team to be out of recovery possibilities or to enter to support Organ donation.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description POCUS protocol group POCUS protocol group POCUS protocol group It will be submitted to an ultrasound protocol which consists in performing the following ultrasound studies in each patient: Measurement of the diameter of the optic nerve. Neck. Pulmonary ultrasound (LUS score). Echocardiogram (function and volemia). Abdomen. Femoral vascular package. Eco-guided interventionism. Central venous accesses (controlling positioning with saline injection under ultrasound), arterial, pleural or abdominal drainage and percutaneous tracheotomy will be performed under ultrasound. Control group Control group The usual handling will be followed. The studies will only be performed if the medical team-treating team considers it, requesting a radiologist specialist the same, as is done routinely.
- Primary Outcome Measures
Name Time Method Changes in diagnosis and treatment by point of care ultrasound Up to 7 days REGISTER OF (In terms of frequency):
IN DIAGNOSIS:
* Does not modify the initial diagnosis but confirms it
* Induces a change in initial diagnosis
* Discover an unknown initial diagnosis
* Does not modify the initial diagnosis, does not discard or confirm anything and does not change the treatment that is done.
* Induces a wrong diagnosis and leads to an error.
IN TREATMENT:
* Determines the performance of an urgent interventional diagnostic maneuver
* Determines the performance of an urgent medical or pharmacological therapeutic maneuver of the ICU.
* Determines the performance of an urgent interventional or surgical therapeutic maneuver
- Secondary Outcome Measures
Name Time Method Definitive diagnosis Up to 7 days Delay in performing definitive diagnosis (hours)
ICU stay Up to 30 days Internment time in ICU (days)
ICU extra requirements Up to 7 days Requests for imaging studies (Number per patient)
Interventions Up to 7 days Number and type of procedures or interventions performed on the patient (Number per patient)
Delay times Up to 7 days Delay between the treatment decision and its actual completion (eg pleural drainage) (in hours)
Duration of mechanical ventilation Up to 30 days Time of invasive mechanical ventilation (days)
Mortality Up to 30 days Death rate (percentage)
Trial Locations
- Locations (1)
UCI Hospital Pasteur y Asociacion Española
🇺🇾Montevideo, Uruguay