Time Course Evolution of Cardiac Output
NCT03694717 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 58
Last updated 2018-10-04
Summary
Fluid expansion is the first therapeutic option in patients presenting acute circulatory failure but the duration of its hemodynamic effects (persistency and time of maximal increase in cardiac output) is unknown.
This study is seeking to describe in critically ill patients, the time course evolution of cardiac output over a 2-hours period after a fluid expansion.
The objectives are:
1. to identify patterns of fluid responsiveness
2. to determine the time when the maximal increase in cardiac output occurs during and a after fluid expansion
3. to compare patients' characteristics between patterns
Patients with acute circulatory failure will be recruited as soon as a fluid expansion will be decided by the physician in charge and the effects of fluid expansion on hemodynamic indices (cardiac output, arterial pressure) will be continuously recorded through a transpulmonary thermodilution device over a 2-hours period.
No changes in ventilatory settings nor vasopressors or sedatives will be allowed during the study.
Patients will be categorized into patterns according to the changes in cardiac output after fluid expansion and their characteristics will be compared.
Conditions
- Acute Circulatory Failure
Interventions
- DRUG
-
Saline Solution for Injection
The fluid expansion will consist in a less than 10 min infusion of 500 milliliters of saline through a central venous catheter (jugular). The duration of infusion will be controlled by an airbag pressurized at 300 mmHg.
Sponsors & Collaborators
-
Association pour le Développement et l'Organisation de la Recherche en Pneumologie et sur le Sommeil
lead OTHER
Principal Investigators
-
Martin Dres, MD, PhD · APHP
Eligibility
- Min Age
- 18 Years
- Max Age
- 99 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-04-15
- Primary Completion
- 2018-05-15
- Completion
- 2018-05-31
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