Actively Recruiting
Evaluating Fluid Responsiveness in ICU Patients Using VTI and Trendelenburg Positioning
Led by Lenox Hill Hospital · Updated on 2024-05-16
400
Participants Needed
1
Research Sites
69 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Fluid administration is a commonly performed in the ICU for critically ill patients. However, it can lead to complications such as fluid overload, pulmonary edema, and increased mortality in some patients. Therefore, identifying patients who are likely to respond to fluid therapy is crucial for optimizing their management. Several methods have been used to assess fluid responsiveness, such as passive leg raising, stroke volume variation, and cardiac output monitoring. However, these methods have limitations and may not be feasible in all patients. In this study, the investigators aim to evaluate the use of velocity time integral (VTI) and Trendelenburg positioning in predicting fluid responsiveness in ICU patients.
CONDITIONS
Official Title
Evaluating Fluid Responsiveness in ICU Patients Using VTI and Trendelenburg Positioning
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult patients (≥ 18 years old) admitted to the medical or surgical ICU.
- Patients requiring fluid administration due to suspected low blood volume or volume expansion indicated by hypotension, tachycardia, elevated blood lactate, skin mottling, low urine output, or need for vasopressor/inotrope support.
- Patients able to tolerate the Trendelenburg position.
You will not qualify if you...
- Pregnancy.
- Prisoners and institutionalized patients.
- Patients unable to tolerate the Trendelenburg position, including those with increased intracranial pressure, intra-abdominal hypertension, or risk of stomach fluid aspiration.
- Patients with poor cardiac ultrasound imaging preventing reliable VTI measurements at the left ventricular outflow tract.
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
Lenox Hill Hospital- Northwell Health
New York, New York, United States, 10075
Actively Recruiting
Research Team
M
Matthew Kheir, MD
CONTACT
S
Sara Velichkovikj, BS
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
DIAGNOSTIC
Number of Arms
1
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