Diagnosis Accuracy of Abdominal Compression and Hemoconcentration to Detect Diuretic Induced Fluid Removal Intolerance.
NCT03145935 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 40
Last updated 2019-04-12
Summary
Fluid overload increases morbidity and mortality of pediatrics patients in intensive care unit (ICU). It could be interesting to predict the decrease in stroke volume when diuretics are prescribed. Nevertheless, no test predict a decrease of stroke volume in a context of a diuretics induced depletion. Abdominal compression (AC) coupled with echocardiographic measurement of the stroke volume can predict fluid responsiveness and is a good tool to assess preload dependency. Another point is that during depletion refilling can occur. We aim to assess the diagnostic accuracy of abdominal compression to predict a decrease of the stroke volume of 15 % during diuretic-induced depletion of 10 ml/kg of diuresis. Secondary outcome will assess the hemoconcentration during depletion to diagnose a decrease of stroke volume during diuretic induced depletion
Conditions
- Hypovolemia
- Diuretic Toxicity
- Fluid Overload
Interventions
- DIAGNOSTIC_TEST
-
Abdominal compression (AC)
An echocardiography with stroke volume measurement coupled with an abdominal compression will be performed before and after ta diuretics induced diuresis of 10ml/kg in pediatric patients hospitalized in a pediatric intensive care unit (PICU) diagnosed with fluid overload
- DIAGNOSTIC_TEST
-
blood sample
proteinemia and hematocrit will be measured before and after a diuretics induced diuresis of 10ml/kg
Sponsors & Collaborators
-
Hopital Louis Pradel
lead OTHER
Eligibility
- Max Age
- 8 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-05-10
- Primary Completion
- 2019-12-31
- Completion
- 2019-12-31
Countries
- France
Study Locations
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