Actively Recruiting

Age: 18Years +
All Genders
NCT07499388

Assessment of Venous Return During Volume Expansion: a Prospective Observational Study

Led by Università Politecnica delle Marche · Updated on 2026-03-30

45

Participants Needed

1

Research Sites

69 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

According to Guyton's model of venous return, the fluids that effectively increase cardiac output are those that, once administered, increase the vascular stressed volume, thereby increasing the mean systemic filling pressure (Pms) without increasing the central venous pressure (CVP). In this way, since the gradient between Pms and CVP increases, venous return-and consequently cardiac output-also increases. In cases where physiologically ineffective fluids are administered, the situation arises in which, in addition to increasing the stressed volume and thus Pms, CVP also increases. As a result, the gradient between Pms and CVP remains unchanged, and cardiac output does not increase. The hypothesis is that only a portion of the fluids administered during volume expansion are actually effective in increasing the gradient between Pms and CVP.

CONDITIONS

Official Title

Assessment of Venous Return During Volume Expansion: a Prospective Observational Study

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Critically ill patients admitted to the intensive care unit
  • Invasive or minimally invasive hemodynamic monitoring
  • Clinical indication for volume expansion with 500 mL of crystalloids
Not Eligible

You will not qualify if you...

  • Suspected or confirmed pregnancy
  • Severe aortic stenosis or regurgitation
  • Severe mitral stenosis or regurgitation
  • History of peripheral arterial disease
  • Clinical contraindications to the supine position

AI-Screening

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Trial Site Locations

Total: 1 location

1

AOU delle Marche

Ancona, Italy, 60123

Actively Recruiting

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How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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