Status:

UNKNOWN

Automated Inferior Vena Cava Collapsibility Index Fluid Responsiveness in Ventilated Patients After Cardiac Surgery.

Lead Sponsor:

Hamad Medical Corporation

Conditions:

Hemodynamic Monitoring

ICU

Eligibility:

All Genders

18-80 years

Brief Summary

Echocardiographic measurement of inferior vena cava (IVC) collapsibility index (CI) with automated software analyses has been introduced. This study aims to assess the accuracy of IVC-CI (caval index)...

Detailed Description

It is expected to have insights about the concordance rate. The automated echocardiographic method of measuring CI method may or may not meet the criteria for interchangeability with the thermodilutio...

Eligibility Criteria

Inclusion

  • 1\. Age more than18 years old. 2. Cardiac surgical patients including (coronary artery bypass graft surgery, valvular surgeries, and aortic dissection surgeries) 3. Need for decision to administer IV fluids (hypotension that require assessment and possible fluid boluses defined as a systolic blood pressure less than 90mmHg. Normotensive patients who require fluid therapy with any other manifestation of low perfusion including tachycardia, low urine output, increased core-peripheral temperature gradient, serial increase in serum lactate, and serial increase in base deficit, and normotensive). The endpoint of fluid resuscitation is return normal blood pressure

Exclusion

  • Contraindication for fluid administration including acute pulmonary edema. 2. Moderate or more tricuspid valve lesion or pulmonary hypertension (more 50 mmHg) where high central venous pressure is expected 3. Patients on hemodialysis. 4. Patient on intra-aortic balloon pump (IABP) or extracorporeal membrane oxygenation (ECMO) 5. Irregular cardiac rhythm: patients with atrial fibrillation or frequent ectopics are excluded.
  • 6\. Patients with chest open 7. Poor echocardiography window (The images will be stored and analyzed by senior physician within the ICU certified in echocardiography)

Key Trial Info

Start Date :

February 12 2022

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

May 31 2023

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT05283590

Start Date

February 12 2022

End Date

May 31 2023

Last Update

May 25 2022

Active Locations (1)

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Hamad medical corporation

Doha, Qatar, 3050