Impact of a Multisystemic Ultrasound Protocol in Patients of Polyvalent Intensive Care Units

Asociacion Española Primera en Salud

Status: Completed

Conditions: Point of Care Ultrasound

Treatments: Behavioral: POCUS protocol group; Other: Control group

Study type: Interventional

Funder types: Other

Identifiers

NCT03608202

AsociacionEPS

Details and patient eligibility

About

Ultrasound is a widely used tool for clinicians to manage severe acute patients, seeking to improve the limitations of traditional physical examination and special studies that require patient transfers and can be harmful. This study aims to determine that a pre-established protocol of multiorganic point-of-care ultrasound can be beneficial performed systematically in a critical care patient, improving the diagnosis, detecting hidden anomalies, generating changes in therapy and guiding interventions. A multicenter, randomized controlled clinical trial, against a conventional therapy group is designed. The study group underwent an ultrasound protocol at the entrance of an ICU, of optic, pulmonary, cardiac, abdominal and guide of interventions.

Enrollment: 80 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Admitted to the ICU with the requirement of Ventilatory Mechanical Assistance, and admitted for trauma, sepsis, shock of any cause, and postoperative major surgery.

Exclusion criteria

• More than 12 hours of previous hospitalization.
• Those who refuse to enter the protocol.
• Those considered by the treating team to be out of recovery possibilities or to enter to support Organ donation.

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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80 participants in 2 patient groups

POCUS protocol group

Experimental group

Description:

POCUS protocol group It will be submitted to an ultrasound protocol which consists in performing the following ultrasound studies in each patient: Measurement of the diameter of the optic nerve. Neck. Pulmonary ultrasound (LUS score). Echocardiogram (function and volemia). Abdomen. Femoral vascular package. Eco-guided interventionism. Central venous accesses (controlling positioning with saline injection under ultrasound), arterial, pleural or abdominal drainage and percutaneous tracheotomy will be performed under ultrasound.

Treatment:

Behavioral: POCUS protocol group

Control group

Active Comparator group

Description:

The usual handling will be followed. The studies will only be performed if the medical team-treating team considers it, requesting a radiologist specialist the same, as is done routinely.

Treatment:

Other: Control group