ED Decision Making Among Hypotensive Patients

Mespere Lifesciences

Status: Unknown

Conditions: Hypotension

Treatments: Device: Mespere Venus 1000 CVP System

Study type: Observational

Funder types: Industry

Identifiers

NCT02221908

IRB1401002513

Details and patient eligibility

About

The goal of this study is to assess decision making skills of emergency physicians when dealing with hypotensive patients. The hypothesis is that decisions made based on physical exam and vital signs regarding fluid resuscitation by emergency physicians are not statistically equivalent to those that would be made based on the use of a non-invasive CVP measurement

Full description

If physicians can make appropriate decisions about the need for fluid resuscitation without CVP measurement, then this skill is worth being passed to physicians in training. Previously it was not possible gather enough information about the response of patients' because of the risk of using indwelling CVP sensors. But now because there is a low risk tool (Venus 1000 System), this study is now practical and safe.

Enrollment: 200 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients >=18 years of age who enter the Emergency Department at Hahnemann Hospital with Systolic Blood pressure < 100 mm Hg

Exclusion criteria

• Those patients who are suffering from traumatic injury requiring Level I or Level II trauma evaluations. Example conditions include penetrating injuries to head, torso and proximal extremities.
• Additional exclusion criteria include the presence of an internal jugular or a subclavian central venous line or both external jugular veins being cannulated (attempted or successful) with peripheral IVs.
• Pregnant females will be excluded.
• Subjects under the age of 18 years will be excluded

Trial design

200 participants in 1 patient group

Patients brought to Hahnemann Hospital ED

Treatment:

Device: Mespere Venus 1000 CVP System