VExUS-guided Fluid Management in Patients With Acute Kidney Injury in the Intensive Care Unit
NCT05240833 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 55
Last updated 2022-02-15
Summary
A quasi experimental study that aims to verify whether the incorporation of VExUS in patients with AKI in the Intensive Care Unit (ICU) may prompt tailored interventions to increases the number of days free from Renal Replacement Therapy (RRT) during the first 28 days.
Conditions
- Acute Kidney Injury
- Renal Insufficiency, Acute
- Kidney; Disease, Acute
- Critical Illness
- Volume Overload
- Fluid Overload
Interventions
- DIAGNOSTIC_TEST
-
VExUS Score
The VExUS-Guided Arm care team will be informed of the Day 0 VExUS immediately after the ultrasound is performed and given a suggested target for the following 48 hours as follows: * VExUS 0: There is no evidence of venous congestion. * VExUS 1: There is evidence of mild venous congestion. The investigators recommend targeting a net neutral or negative fluid balance with diuresis. * VExUS 2-3: There is evidence of moderate to severe venous congestion. The investigators recommend targeting a fluid balance of negative 1-2L with diuresis. * If the investigator cannot obtain ultrasound images of sufficient quality to calculate VExUS, the care team will be informed that there is no recommendation for that subject on that day.
Sponsors & Collaborators
-
Hospital de Clinicas de Porto Alegre
lead OTHER
Principal Investigators
-
MARCIO M BONIATTI, PhD · Hospital de Clínicas de Porto Alegre
Study Design
- Allocation
- NA
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-01-07
- Primary Completion
- 2022-12-31
- Completion
- 2022-12-31
Countries
- Brazil
Study Locations
More Related Trials
-
Effects of Vena Cava Inferior Measurements on AKI and Mortality.
NCT06331234 ·Status: NOT_YET_RECRUITING
-
Impact of Fluid Resuscitation on Venous Congestion in Cardiac Critically-ill Patients
NCT07183397 ·Status: NOT_YET_RECRUITING
-
Guidance of Ultrasound in Intensive Care to Direct Euvolemia
NCT03938038 ·Status: COMPLETED ·Phase: NA
-
Intrarenal Venous Flow Change During Fluid Removal in Critically Ill Patients: A Prospective Exploratory Study
NCT06216119 ·Status: COMPLETED
-
Non-interventional Follow-up Versus Fluid Bolus in RESPONSE to Oliguria in the Critically Ill
NCT02860572 ·Status: COMPLETED ·Phase: NA
-
Effect of Fluid Deresuscitation With Central Venous Pressure Target 0-4 mmHg in Septic Shock Patients
NCT04156451 ·Status: COMPLETED ·Phase: NA
-
Proactive Prescription-based Fluid Management vs Usual Care in Critically Ill Patients on Kidney Replacement Therapy
NCT05473143 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Fluid Balance Neutralization During CRRT (Continuous Renal Replacement Therapy)
NCT04801784 ·Status: COMPLETED ·Phase: NA
-
Crystalloids for AKI in Shock Patients
NCT03188614 ·Status: UNKNOWN ·Phase: NA
-
Optimization of Fluid Balance Guided by Bioelectrical Impedance Analysis in Patients Undergoing Continuous Renal Replacement Therapy in Critical Care
NCT06799910 ·Status: RECRUITING ·Phase: NA
-
Targeted Perfusion Based Haemodynamic Management in Critically Ill Patients Using Urethral Perfusion
NCT06158555 ·Status: RECRUITING ·Phase: NA
-
The Furosemide Stress Test, Electrolytes Response and Renal Index in Critically Ill Patients
NCT04215419 ·Status: COMPLETED
-
Furosemide Stress Test to Predict Successful Liberation From RRT
NCT05612490 ·Status: COMPLETED
-
Use of Vasopressin in Patients at High Risk of Acute Kidney Injury Admitted to the ICU
NCT06547892 ·Status: RECRUITING ·Phase: PHASE2
-
Forced Fluid Removal in High Risk Acute Kidney Injury
NCT02458157 ·Status: TERMINATED ·Phase: PHASE4
-
Timing and Dose of Fluid Deresuscitation in Critically Ill Patients
NCT07275658 ·Status: RECRUITING
-
Restrictive Versus Liberal Rate of Extracorporeal Volume Removal Evaluation in Acute Kidney Injury
NCT05306964 ·Status: TERMINATED ·Phase: NA
-
Hemodynamic Optimization By Non-Invasive Determination Of Cardiac Output In Critically Ill Patients
NCT01309724 ·Status: COMPLETED ·Phase: NA
-
Effects of Fluid Balance Control in Critically Ill Patients
NCT02765009 ·Status: COMPLETED ·Phase: NA
-
Estimating Fluid Requirement in Shocked Traumatic Patients by US on SCV
NCT06726668 ·Status: NOT_YET_RECRUITING
-
Fluid Responsiveness and Venous Congestion Evolution During Volume Expansion
NCT06772038 ·Status: RECRUITING
-
Impact of Amount of Fluid for Circulatory Resuscitation on Renal Function in Patients in Shock
NCT02666404 ·Status: TERMINATED ·Phase: NA
-
Hemodynamics and Extravascular Lung Water in Acute Lung Injury
NCT00624650 ·Status: COMPLETED ·Phase: PHASE2
-
Assessment of Hydration Status Using Bioelectrical Impedance Vector Analysis
NCT02936440 ·Status: COMPLETED
-
Normal Saline Versus Balance Salt Solution Resuscitation on Kidney Function
NCT02520804 ·Status: UNKNOWN ·Phase: NA