Extravascular Lung Water and Fluid Responsiveness in Critically Ill Patient
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- electric cardiometry effectiveness in fluid management in critically ill patient
研究概览
简要总结
Assessment of validity of electrical cardiometry (EC) to measure fluid responsiveness and extravascular lung water that is expressed in the form of (thoracic fluid content) .
详细描述
- Study Setting:
The study will be conducted in Assiut University Hospital, in respiratory intensive care unit.
This study is a cross sectional design for Extravascular lung water and fluid responsiveness assessment in critically ill patient 2. Study subjects:
-
Inclusion criteria:
-
Patients who are 18 years old or more.
-
patients will be divided into two groups: Group 1 patients with blood pressure less than 90/60 to assess fluid responsiveness and group 2 patients with sonographic finding of increase extravascular lung water in the form of interstitial edema or pulmonary edema or by electrical cardiometry (increase thoracic fluid content).
-
Exclusion criteria:
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who are 18 years old or more.
- •patients will be divided into two groups: Group 1 patients with blood pressure less than 90/60 to assess fluid responsiveness and group 2 patients with sonographic finding of increase extravascular lung water in the form of interstitial edema or pulmonary edema or by electrical cardiometry (increase thoracic fluid content).
排除标准
- •Patients less than 18 years old.
- •Patients who refuse to participate in the study.
结局指标
主要结局
electric cardiometry effectiveness in fluid management in critically ill patient
时间窗: baseline
compairing fluid responsiveness by stroke vloume variation in carddiometry( Fluid responsiveness was defined as SVV \>10% to 15%) and IVC destinsability index by ultrasound (fluid rspnisveness was defined as \[(maximum IVC diameter on inspiration-minimum diameter on expiration)/minimum diameter on expiration\] \> 18%). compairing pulmonary edema by fluid thoracic content(normal range:25 to 35) in cardiometry and B lines in chest ultrasound(more than 3 b-lines in all 4 fields/BLUE points considered positive for pulmonary edema according to BLUE protocol).
次要结局
未报告次要终点
研究者
Mostafa Mahmoud
lecturer assistant
Assiut University