Point of Care Ultrasound to Predict Intensive Care Unit Admission of Patients Presenting With Sepsis to the Emergency Department (POCUS Sepsis)

Northwell Health

Status: Enrolling

Conditions: Sepsis

Study type: Observational

Funder types: Other

Identifiers

NCT05544903

20-0151

Details and patient eligibility

About

The FloPatch device will be applied to 150 septic patients in the emergency department before they receive fluid resuscitation. This study will assess whether initial FloPatch measured volume-responsiveness and volume of fluids used will predict a composite outcome of mortality, intensive care unit admission, or rapid response team activation. The development of fluid unresponsiveness throughout the initial fluid resuscitation will be assessed and its association with the composite outcome will be assessed.

Enrollment: 150 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Emergency department patient
• 18+ years old
• Systolic blood pressure less than 100mmHg
• Respiratory rate greater than 22 breaths per minutes
• Temperature greater than 38 degrees Celsius or less than 36 degrees Celsius
• Heart rate greater than 90 beats per minute

Exclusion criteria

• Already intubated prior to emergency department arrival
• Ventilator-dependent
• Patients transferred from another hospital
• Pregnancy

Trial design

150 participants in 2 patient groups

Mortality, ICU admission, or rapid response team activation

Description:

Carotid flow patterns and velocity time integral values, as determined by FloPatch.

No mortality, ICU admission, or rapid response team activation

Description:

Carotid flow patterns and velocity time integral values, as determined by FloPatch.