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Can transiently raising breath volume to higher (normal) breath volume in patients on ventilator receiving low breath volume and by measuring blood pressure change will help to identify patients who will get benefited from giving fluids.

Not Applicable
Conditions
Health Condition 1: null- Patients Age18yrsAcute circulatory failure Deeply sedated/paralysed)With invasive cardiac output monitoring using PICCO/ Volume View
Registration Number
CTRI/2015/11/006335
Lead Sponsor
Dr Sheila Nainan Myatra
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
20
Inclusion Criteria

•Adult patients (Age > 18 yrs )

•Acute circulatory failure

•Receiving protective lung ventilation <= 6ml/kg IBW using Volume Assist Control mode, without any spontaneous activity (deeply sedated/paralysed)

•With invasive cardiac output monitoring using PICCO/ Volume View with Phillips Intel View monitor (MP700)

Exclusion Criteria

•Cardiac arrhythmias, IHD

•Previously known significant valvular disease or intracardiac shunt

•Air leakage through chest drains

•An urgently required fluid challenge

•Abdominal compartment syndrome, and pregnancy

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To detect whether measuring PPV by transiently increasing tidal volume to 8ml/kg IBW in patients ventilated with low tidal volume, can reliably predict fluid responsiveness.Timepoint: 1 year
Secondary Outcome Measures
NameTimeMethod
To detect whether EEOT is reliable in patients ventilated with 6 ml/kg IBW.Timepoint: 1 year
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