The Impact of Point-of-Care Ultrasound

Montefiore Medicine Academic Health System

Status: Completed

Conditions: Shock; Ultrasound

Treatments: Diagnostic Test: Ultrasound

Study type: Observational

Funder types: Other

Identifiers

NCT03276364

206-13

Details and patient eligibility

About

Point-of-care ultrasound (POCUS) has been found to be useful for aiding in the prediction of fluid responsiveness. It is unknown if trainees can effectively utilize this tool to improve their assessment of fluid responsiveness.

In this prospective, observational study, pulmonary and critical care fellows are asked to make 2 assessments of fluid responsiveness in adults with shock: (1) based on clinical exam alone (Clinical) and (2) after performing a POCUS (Clinical + US). The accuracy of their pre- and post-ultrasound assessments are compared using a bioreactance monitor and passive leg raise test as the gold standard of fluid responsiveness in this study.

Enrollment: 112 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults age 18 or older admitted to the MICU with a diagnosis of shock while a fellow was on duty.

Exclusion criteria

• None

Trial design

112 participants in 1 patient group

Shock

Treatment:

Diagnostic Test: Ultrasound