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临床试验/NCT05054270
NCT05054270已完成不适用

Efficacy of Lung Ultrasound in Monitoring Fluid Resuscitation in Trauma Patients

Assiut University1 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2021年7月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
100
试验地点
1
主要终点
Number of patients with lung contusion

研究概览

简要总结

Efficacy of Lung ultrasound in monitoring fluid resuscitation in chest trauma patients with lung contusions

详细描述

Trauma is a public health problem, associated to high morbidity and mortality, In Egypt the mortality from road traffic crashes is about 12000 victims per year.

  • Chest trauma represents from 10% to 15% of the total number of traumas worldwide.

According to ATLS protocol , early diagnosis and management of Chest trauma are essential. *Pulmonary contusion is found in 30-75% of cases of chest injury.

  • point of care Ultrasound (POCUS) is Now a corner stone in Emergency management it can predict lung contusions within the first 72 hours after trauma.
  • Recently, LUS Play a major role in assessment of the volume status in Trauma patients.
  • B-lines score (BLS) has been validated as a lung ultrasound quantification of pulmonary congestion.The sum of all B-lines yields a score, B-lines score (BLS), which assess the degree of lung contusion. So that LUS may provide a valuable safety threshold to conduct fluid therapy.

研究设计

研究类型
Observational
观察模型
Other
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age > 18 years.
  • chest trauma patients either with or without other injuries.
  • Any patient with either blunt or penetrating chest trauma.

排除标准

  • - Patients in cardiac arrest.
  • Patient refusal to participate
  • Pregnant females.

结局指标

主要结局

Number of patients with lung contusion

时间窗: Upto 24 hours after trauma

Pulmonary edema will be detected by B_lines trauma patients with lung contusions

次要结局

  • Clinical correlation between Type & volume of Fluid & occurance of pulmonary edema. Correlation between severity of pulmonary lung contusion & The final disposition of the patients whatever (OR _another department _death….. etc) upto 24hr.(For first 24 hours after trauma)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Aya Yassien Mahmoud Ahmed

Emergency medicine resident physician

Assiut University

研究点 (1)

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