VExUS and Lung ultrasound Guided Management of Acute Heart Failure: A Randomised Control Trial.

arayana Hrudayalya0 个研究点目标入组 0 人开始时间: 待定最近更新: 2023年5月29日

试验速览

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•Getting admited with a diagnosis of acute heart failure [defined as recent worsening of shortness of breath or oxygen saturation (SpO2) < 90% on room air or orthopnea/paroxysmal nocturnal dypnea (PND) along with an increase in NT proBNP]

•1.Need for intubation (or already intubated).
•2.Signs or symptoms or markers of hypoperfusion: cold extremities, altered mentation, confusion, oliguria,
•Lactate > 2 mmol/L.
•3.Persistent hypotension (SBP < 90 mmHg).
•4.Requirement of two or more vasoactive agents to maintain blood pressure.
•5.Requirement for invasive cardiac output monitoring.
•6.Requirement for Mechanical Circulatory Support.
•7.Heart rate < 40 b.pm or persistent life-threatening arrhythmia.
•8.Any associated non-cardiac condition requiring critical care admission.
•9.Pulmonary arterial systolic pressure > 55mm/hg by bedside 2d-echocardiography
•10.Patients with comfort care directives.
•11.Suspected sepsis
•12.Pregnancy
•13.Liver cirrhosis
•14.Severe ascites (Grade 3 Ascites defined as Large or gross ascites with marked abdominal distension)

发起方

arayana Hrudayalya