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Does VExUS ultrasound help in fluid management in ICU?

Phase 4
Conditions
Health Condition 1: R00-R99- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Registration Number
CTRI/2023/09/057208
Lead Sponsor
AIIMS, Bhubaneswar
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

adults >18 years admitted in SICU/CICU/HDU.

patients requiring aggressive fluid resuscitation in 24 hours .

expected ICU stay > 48 hours

Inferior vena cava diameter > 2 cm at any point of ICU stay after 24 to 48 hours post admission.

Exclusion Criteria

refusal to give consent

known cases of cirrhosis with portal hypertension and IVC thrombus.

pregnant

inadequate acoustic window

prediction of ICU stay less than 48 hours in ICU/HDU

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare the cumulative fluid balance on day 4 of recruitment between the intervention group & control group ( measured in ml, expressed as mean with SD)Timepoint: day 4 of recruitment
Secondary Outcome Measures
NameTimeMethod
cumulative fluid balance on days 3 & 5 of recruitment <br/ ><br>organ failure indices -p/f ratio, serum creatinine, Delta SOFA score <br/ ><br>duration of mechanical ventilation in hours <br/ ><br>length of ventilation in hours <br/ ><br>incidence of new onset hypernatremia and metabolic alkalosis <br/ ><br>mortality at ICU/wardTimepoint: day 3 & day 5 post recruitment
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