Very Old Intensive Care Patients - Perfusion
NCT04169204 · Status: ACTIVE_NOT_RECRUITING · Type: OBSERVATIONAL · Enrollment: 47
Last updated 2024-01-09
Summary
Shock is a frequent, etiologically heterogeneous and often lethal clinical condition of intensive care medicine. This is particularly true for very old intensive care patients (VIPs), who are among the fastest-growing subgroups of all intensive care unit (ICU) patients and who suffer from a significantly impaired outcome. In addition to the treatment of the causes of shock, current therapeutic approaches focus on the stabilization of vital parameters, which in general all reflect macrocirculatory measured values such as blood pressure. In contrast, a disturbance of the microcirculation (blood circulation of the smaller blood vessels \<100 µm) is only poorly measurable and delayed. The last generation of AVA-Software (MicroVisionMedical) will calculate different parameters about the capillary densitiv and perfusion in a user-independent way. VIPPER investigates whether a non-invasive measurement of microcirculation using the sublingual mucosa in very old intensive care patients in shock leads to faster recognition and specific treatment of organ dysfunctions. Secondly, this study checks whether this measurement predicts outcome.
Conditions
- Microcirculation
- Intensive Care
- Very Old Intensive Care Patients
Interventions
- DIAGNOSTIC_TEST
-
Measurement of microcirculation
As a simple clinical test, every patient will receive the assessment capillary refill time and mottling-score. Additionally, repetitive measurements of lactate will be done. The SDF-camera (MicroVision Medical®, Amsterdam, Netherlands) will measure sublingual microcirculation at different time points (Admission and 24h).
Sponsors & Collaborators
-
Heinrich-Heine University, Duesseldorf
lead OTHER
Eligibility
- Min Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-05-19
- Primary Completion
- 2023-05-31
- Completion
- 2024-05-30
Countries
- Germany
Study Locations
More Related Trials
-
Reliability and Validity of the Vicorder Device When Measuring Pulse Wave Velocity Within Chronic Stroke Patients
NCT04342143 ·Status: RECRUITING
-
Subclavian Vein Diameter Variations to Assess Vascular Filling
NCT04946643 ·Status: COMPLETED
-
Suitability of PICC for Transpulmonary Thermodilution Compared to CICC
NCT03834675 ·Status: COMPLETED ·Phase: NA
-
Correlation of Ultrasonography Indices of Venous Congestion With Intra-abdominal Pressure in ICU Patients.
NCT06160856 ·Status: NOT_YET_RECRUITING
-
Single-lumen 5Fr and Triple-lumen 6Fr PICCs Are Accurate for Hemodynamic Measurement by Transpulmonary Thermodilution.
NCT04241926 ·Status: COMPLETED ·Phase: NA
-
Microcirculation in Continuous Venovenous Hemofiltration Patients on the Intensive Care Unit
NCT01362088 ·Status: COMPLETED
-
Is There Any Correlation Between Respiratory Variation Ratios of Internal Jugular Vein and Inferior Vena Cava?
NCT04173741 ·Status: COMPLETED
-
Micro and Macro Circulation in Sepsis
NCT05694455 ·Status: COMPLETED ·Phase: NA
-
Is Venous to Arterial Conversion (v-TAC) of Blood Gas Reliable in Critical Ill Patients in the ICU?
NCT03309423 ·Status: UNKNOWN
-
Measurement of Intravascular Volume Using USG of IVC Diameter Compared to VPW Chest X-ray
NCT03535038 ·Status: COMPLETED ·Phase: NA
-
Hemodynamic Monitoring With Mixed Venous Saturation
NCT00303043 ·Status: COMPLETED
-
Central Venous Pressure (CVP) Changes do Not Predict Preload Unresponsiveness
NCT03753672 ·Status: UNKNOWN
-
Microcirculation in Dehydrated Older Patients
NCT04261374 ·Status: COMPLETED
-
Inferior Vena Cava Collapsibility and Distensibility Assessment in Critical Care.
NCT06516692 ·Status: COMPLETED ·Phase: NA
-
Accuracy of IVCCI as a Measure of CVP
NCT06166875 ·Status: COMPLETED
-
Measurement of Hemodynamic Responses to Lower Body Negative Pressure
NCT03582501 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Subclavian Vein/Artery Diameter Index in Predicting the Incidence of the Spinal-Induced Hypotension in Geriatric Patients
NCT07286422 ·Status: NOT_YET_RECRUITING
-
Comparison of Continuous Non-invasive Pressure Device Versus Invasive Pressure Measurement During Prehospital Emergency
NCT01627470 ·Status: UNKNOWN
-
Correlation Between Peripheral Venous Pressure and Central Venous Pressure in the Cardiac Intensive Care Unit
NCT03526497 ·Status: TERMINATED
-
Hemodynamics Monitoring During Lower Body Negative Pressure (LBNP) Induced Controlled Hypovolemia
NCT03592290 ·Status: RECRUITING
-
Pulse Checks Using Femoral Artery B-Mode Ultrasound With Compressibility Assessment
NCT06491186 ·Status: RECRUITING
-
Systematic Screening for Deep Vein Thrombosis in Critically Ill Patients
NCT05019092 ·Status: UNKNOWN ·Phase: NA
-
Non-invasive Assessments of Central Venous Pressure
NCT01079611 ·Status: COMPLETED
-
Hemodynamic Measurements at Different Inclinations of the Head
NCT02046785 ·Status: UNKNOWN ·Phase: NA
-
HOspitalized Patients and Clinical flUid Status, Assessment Using Point Of Care UltraSound
NCT06379347 ·Status: RECRUITING