VOLume and Vasopressor Therapy in Patients With Hemodynamic instAbility
NCT04089098 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 125
Last updated 2022-06-30
Summary
This prospective observational study will include critically ill patients with hemodynamic compromise. It will compare passive leg raising and a mini volume challenge (MVC) carried out on every patient sequentially. The endogenous release of stress hormones will also be assayed in order to investigate their modifying effect on the hemodynamic reaction of the participants. The effect of fluid resuscitation on renal perfusion will also be assessed and the data compared with the release of cystatin C.
Conditions
- Hemodynamic Instability
- Shock
- Septic Shock
Interventions
- DIAGNOSTIC_TEST
-
passive leg raising versus mini volume challenge
Blood samples will be collected and ultrasound evaluation of renal perfusion conducted in study participants immediately before conducting passive leg raising (PLR). PLR will then be carried out on study participants, followed by MVC. PLR- and/or MVC-responsive patients will receive a further 700 ml fluid immediately after the MVC. Renal perfusion will be further assessed 1 and 24 hours after the MVC.
Sponsors & Collaborators
-
University of Leipzig
lead OTHER
Principal Investigators
-
Sirak Petros, MD · University Hospital of Leipzig, Medical ICU
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-09-01
- Primary Completion
- 2021-07-31
- Completion
- 2021-09-30
Countries
- Germany
Study Locations
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