Status:

COMPLETED

Fluid Responsiveness in HFNC Patients

Lead Sponsor:

Hospital Universitari Vall d'Hebron Research Institute

Conditions:

Respiratory Insufficiency

Shock, Septic

Eligibility:

All Genders

18+ years

Brief Summary

The plethysmographic variation index (PVi) is a measure of the respiratory-induced variations in the plethysmographic waveform. Interestingly, in mechanically ventilated patients and under certain con...

Detailed Description

STUDY BACKGROUND The plethysmographic variation index (PVi) is a measure of the respiratory-induced variations in the plethysmographic waveform. Interestingly, in mechanically ventilated patients and ...

Eligibility Criteria

Inclusion

  • Patients treated with HFNC presenting with circulatory insufficiency defined as the presence of any of the folling signs: 1) hypotension (systolic blood pressure \<90 mm Hg or the need for norepinephrine), 2) oliguria (urine output \<0.5 mL/kg/hr), and 3) cool, mottled extremities.

Exclusion

  • Cardiac arrhythmia
  • Known intracardiac shunt
  • Severe valvular heart disease
  • Severe hypoxemia (PaO2/FIO2 \<60 mmHg)
  • Left ventricular ejection fraction of \<50%
  • Hemodynamic instability during the procedure (defined as the variation in heart rate or blood pressure of \>10% over the 15-min period before starting the protocol) and those with variations in arterial pulse pressure \<13%.

Key Trial Info

Start Date :

January 1 2017

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

April 30 2019

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT03817996

Start Date

January 1 2017

End Date

April 30 2019

Last Update

August 13 2019

Active Locations (1)

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1

Hospital Universitari Vall d'Hebron

Barcelona, Spain, 08035