Role of Echocardiography in Guiding Fluid Therapy in Shocked Patients With Impaired Cardiac Contractility in Emergency Department

Alexandria University

Status: Completed

Conditions: Shock

Treatments: Diagnostic Test: passive leg raising test and fluid challenge

Study type: Interventional

Funder types: Other

Identifiers

NCT05488730

Echo in fluid therapy 2022

Details and patient eligibility

About

fluid therapy is one of the cornerstones in the management of shock but may result in iatrogenic fluid overload .The aim of this study was to assess the role of echocardiography in guiding fluid therapy in shocked patients with impaired cardiac contractility using straight leg raising test ,Inferior vena-cava collapsability index and Doppler imaging in Emergency Department in Alexandria main university hospital.

Enrollment: 100 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• shocked patient with impaired cardiac contractility

Exclusion criteria

• Trauma patients.
• Patient with unstable arrhythmias.
• Patients with lower limb amputation.
• Mechanically ventilated patients.
• Patients with prosthetic aortic valve.
• Patients less than 18 years old
• Pregnant.

Trial design

Primary purpose: Diagnostic

Allocation: N/A

Interventional model: Sequential Assignment

Masking: None (Open label)

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100 participants in 1 patient group

shocked patient with impaired cardiac contractility

Other group

Treatment:

Diagnostic Test: passive leg raising test and fluid challenge