Status:

COMPLETED

Simplified Inferior Vena Cava Collapsiblity

Lead Sponsor:

University Hospital, Lille

Conditions:

Circulatory Failure

Eligibility:

All Genders

18+ years

Brief Summary

Fluid administration is a cornerstone therapy in critically ill patient. Fluid restriction or overload can therefore change patient's outcome and mortality. Close monitoring of PR (capacity of increas...

Detailed Description

The primary objective of this study is to confirmed the excellent accuracy of cVCI to predict PR when standardized inspiratory maneuver is simplified. The secondary objective is to test cVCIs in diff...

Eligibility Criteria

Inclusion

  • Patient requiring an evaluation of PR by echocardiography for
  • Presence of at least one clinical sign of acute circulatory failure (Mean Arterial Pressure \< 65 mmHg, mottling, tachycardia with Heart Rate \> 90 bpm, capillary refill time \> 3 sec, oliguria (urine output \< 0,5 mL/kg/h over 1 hour or more))
  • Noradrenaline administration
  • Age \> 18 years old
  • Spontaneous breathing patient requiring oxygen administration without mechanical assistance

Exclusion

  • Intolerance of inspiratory maneuver defined by:
  • Clinical sign of acute respiratory failure
  • Active abdominal expiration
  • Hemodynamic response of passive leg raising not evaluable:
  • Intracranial hypertension
  • Impaired transthoracic or abdominal echogenicity
  • High grade aortic insufficiency
  • Pregnancy
  • Abdominal compartment syndrome
  • Lower limb amputation
  • Urgent hemodynamic therapy within half an hour
  • Modification of hemodynamic support (fluid therapy or modification of catecholamine dose)

Key Trial Info

Start Date :

June 6 2023

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

June 7 2024

Estimated Enrollment :

74 Patients enrolled

Trial Details

Trial ID

NCT06921642

Start Date

June 6 2023

End Date

June 7 2024

Last Update

April 10 2025

Active Locations (1)

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1

Lille University Hospital

Lille, France