Status:

COMPLETED

Can Capillary Refill Time Variation During Passive Leg Raising Predict Fluid Responsiveness

Lead Sponsor:

Hopital Louis Pradel

Conditions:

Circulatory Failure

Eligibility:

All Genders

18+ years

Brief Summary

Fluid responsiveness in a context of circulatory failure can be assessed by different way. Microcirculatory evaluation to assess fluid responsiveness could be interesting, but the available device are...

Eligibility Criteria

Inclusion

  • The patient is equipped with an arterial and a central venous catheter
  • Capillary refill time is measurable.
  • A cardiac output monitoring is available
  • A 500 ml fluid load as been prescribed by the intensivist in charge.
  • A circulatory failure is present defined as follow:
  • Patient treated with inotropic or vasoconstrictive drugs
  • OR
  • Patient presenting an hypotension defined by systolic arterial pressure less than 90 mmHg or mean arterial pressure less than 70 mmHg or a drop 40 mmHg in case of previous Hypertension.
  • WITH
  • tissue hypoperfusion defined by at least one of the following item:
  • Lactate \> 1 mmol/L
  • Capillary refill time \> 3 s
  • Blotch
  • Organ dysfunction due to the circulatory failure (oligo anuria, acute lung injury / acute respiratory distress syndrome, encephalopathy)

Exclusion

  • Pregnant woman
  • Cardiogenic pulmonary edema
  • Circulatory support : extracorporal life support / extracorporal membrane oxygenator, Thoratec, heart mate.
  • Moribund patient
  • Intra-abdominal hypertension
  • Lower limb amputation

Key Trial Info

Start Date :

September 1 2014

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

May 1 2017

Estimated Enrollment :

34 Patients enrolled

Trial Details

Trial ID

NCT02248025

Start Date

September 1 2014

End Date

May 1 2017

Last Update

May 5 2017

Active Locations (1)

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Hôpital Cardiologique Louis Pradel Service d'anesthésie réanimation

Bron, France, 69500