Point of Care Ultrasonography In The Management of Shock: A Pilot Study
NCT ID: NCT03296891
Last Updated: 2020-12-19
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
50 participants
INTERVENTIONAL
2017-09-10
2020-11-07
Brief Summary
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Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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PoCUS Guided Resuscitation of Shock
Participants randomized to this arm of the study will undergo PoCUS guided resuscitation of shock.
PoCUS Guided Resuscitation of Shock
Point-of-care ultrasound (PoCUS) will be used to guide resuscitation of the participant with shock. A PoCUS study will consist of limited echocardiography (LE) and thoracic ultrasound (TUS).
Usual Care
Participants randomized to the 'usual care' arm of the study will be suggested to have the following guide resuscitation: 1) Pulse pressure variation (PPV), stroke volume variation (SVV) and/or systolic pressure variation (SPV) on their arterial line, 2) central venous pressure (CVP) and oxygen saturation(ScvO2) measurement, 3) Passive leg raise (PLR) maneuver, and/or 4) pulmonary artery catheter
No interventions assigned to this group
Interventions
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PoCUS Guided Resuscitation of Shock
Point-of-care ultrasound (PoCUS) will be used to guide resuscitation of the participant with shock. A PoCUS study will consist of limited echocardiography (LE) and thoracic ultrasound (TUS).
Eligibility Criteria
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Inclusion Criteria
1. Lactate greater than or equal to 2.2 mmol/L
2. AKIN stage I or greater or Urine output less than 0.5 cc/hr
3. Altered level of consciousness due to shock or requiring invasive mechanical ventilation as a result of shock
4. Vasoactive agents required to maintain a mean arterial pressure greater than 65 mmHg.
Exclusion Criteria
2. Participants who have already undergone a PoCUS study (as defined in the protocol for this study) within the past 48 hours
3. Participants who have restrictions on their goals of care at the time of ICU admission (including patients refusing blood products).
4. Patients post cardiac arrest who are not obeying commands
18 Years
ALL
No
Sponsors
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Western University, Canada
OTHER
Responsible Party
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Locations
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London Health Science Center - Critical Care Trauma Center
London, Ontario, Canada
Countries
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Other Identifiers
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109038
Identifier Type: -
Identifier Source: org_study_id