Efficacy of Ultrasound to Guide Management During a Rapid Response Event
NCT01838343 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2014-12-31
Summary
Rapid response team systems have been implemented in numerous hospitals throughout the world with the goal of improving the identification and safety of hospitalized patients who are clinically deteriorating. Despite their theoretical benefit, rapid response systems have not been proven in the medical literature to ultimately change outcomes.
The traditional physical exam is helpful in evaluating and treating unstable medical patients during these types of events but has significant limitations of deceased sensitivity and specificity of findings. Ultrasound is a known tool for more accurately assessing patients in shock and respiratory failure in the ICU by highly trained operators but to the investigators knowledge has not been studied in the setting of rapid response events on hospital wards by critical care fellows after focused training. The investigators aim to assess the impact of ultrasound performed by critical care fellows during rapid response events.
Conditions
- Hemodynamic Instability
- Respiratory Failure
Interventions
- OTHER
-
Ultrasound
Goal-directed ultrasound using a GE Vscan performed by a critical care fellow trained in ultrasonography.
Sponsors & Collaborators
-
Beth Israel Medical Center
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-03-31
- Primary Completion
- 2014-03-31
- Completion
- 2014-03-31
Countries
- United States
Study Locations
More Related Trials
-
Feasibility and Accuracy of an Ultrasound Algorithm for Acute Dyspnea Diagnosis in the Emergency Department
NCT03691857 ·Status: RECRUITING ·Phase: NA
-
Evaluation of the Relevance of Diaphragmatic Stroke Ultrasound for the Etiological Diagnosis of Acute Respiratory Distress in an Emergency Department.
NCT06650137 ·Status: RECRUITING ·Phase: NA
-
Point of Care Ultrasonography
NCT02436317 ·Status: COMPLETED ·Phase: NA
-
The Impact of Point-of-Care Ultrasound
NCT03276364 ·Status: COMPLETED
-
Reproductibility of TM-mode Ultrasound Diaphragm Measures in Patients With Acute Respiratory Distress in the ER
NCT01743105 ·Status: COMPLETED ·Phase: NA
-
Diaphragmatic Ultrasound to Predict NIV Outcome in Patients With De-novo ARF
NCT02976233 ·Status: UNKNOWN
-
B-lines Lung Ultrasound Guided ED Management of Acute Heart Failure Pilot Trial
NCT03136198 ·Status: COMPLETED ·Phase: PHASE2
-
Prevalence and Kinetics of Diaphragmatic Dysfunction in Elderly Patients With Acute Respiratory Distress
NCT04520815 ·Status: UNKNOWN
-
Diaphragmatic Echography in Critically Ill patientS
NCT02696018 ·Status: COMPLETED
-
Ultrasound Measurement of Reactive Hyperemia in Critical Care
NCT01726595 ·Status: COMPLETED
-
Contribution and Reproducibility of Lung Ultrasound in the Diagnosis of Acute Heart Failure in the ED
NCT03660592 ·Status: COMPLETED
-
Prevalence, Impact and Reversibility of Acute Diaprhagmatic Dysfunction in Acute Respiratory Detresse
NCT04106128 ·Status: COMPLETED ·Phase: NA
-
Ultrasonography for Prediction of Extubation Success: a Holistic Approach
NCT04196361 ·Status: COMPLETED
-
Positive and Quantitative Diagnosis of Pleural Effusions by Thoracic Ultrasonography in Patients With Acute Respiratory Failure in the Emergency Department
NCT03846934 ·Status: TERMINATED
-
Ultrasonography in the Emergency Department
NCT02550184 ·Status: UNKNOWN ·Phase: NA
-
Emergency Department Cardiac Ultrasound
NCT02719509 ·Status: COMPLETED
-
Bedside Lung Ultrasonography by Nurses in Acute Dyspnea.
NCT05126940 ·Status: COMPLETED
-
Lung Ultrasound-Guided Fluid Deresuscitation in ICU Patients
NCT05188092 ·Status: RECRUITING ·Phase: NA
-
Personalized Mechanical Ventilation Guided by UltraSound in Patients With Acute Respiratory Distress Syndrome
NCT05492344 ·Status: RECRUITING ·Phase: NA
-
Bedside Ultrasound Identifies Congestive Heart Failure
NCT00833144 ·Status: COMPLETED
-
Ultrasound of the Diaphragm in ICU Patients
NCT01952262 ·Status: COMPLETED
-
Time-motion-mode Ultrasound Diaphragm Measures in Patients With Acute Respiratory Distress in Emergency Department
NCT02273687 ·Status: COMPLETED ·Phase: NA
-
Lung Ultrasound for Acute Dyspnea in Emergency Department
NCT01287429 ·Status: COMPLETED
-
Performance Evaluation of Clinical Ultrasound in Management of Acute Pulmonary Edema in Elderly Patient
NCT02638350 ·Status: COMPLETED ·Phase: NA
-
REASON 1 Trial: Sonography in Cardiac Arrest
NCT01446471 ·Status: COMPLETED