Evaluating Fluid Responsiveness in ICU Patients Using VTI and Trendelenburg Positioning
This study is looking at a new way to help doctors decide if critically ill patients in the ICU (Intensive Care Unit) need more fluids. Giving too much fluid can be harmful, so it's important to know who will benefit. Researchers are using a method called VTI (Velocity Time Integral), which is a measurement from an echocardiogram (a heart ultrasound), along with Trendelenburg positioning (tilting the patient with their head down). They will compare a patient's VTI measurement when lying flat to when they are in the Trendelenburg position. The goal is to find a specific change in VTI that can accurately predict if a patient will respond well to fluid therapy, helping to prevent complications like fluid overload. This study plans to enroll 400 adult ICU patients who might need fluids due to low blood pressure, fast heart rate, or high lactate levels. The study status is currently unclear.
- Study design
- This interventional study involves comparing each patient to themselves, with 400 planned participants. Patients will undergo echocardiograms in two different positions.
- What's involved
- You would have an echocardiogram performed while lying flat and then again while in the Trendelenburg position, for research purposes.
- Compensation
- Not stated in the trial record.
- Follow-up
- The primary outcome, change in VTI cutoff, will be measured at approximately 1 year.
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Evaluating Fluid Responsiveness in ICU Patients Using VTI and Trendelenburg Positioning
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Matthew Kheir, MD · PRINCIPAL_INVESTIGATOR · Lenox Hill Hospital- Northwell Health
Who to contact
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Do you actually qualify for this trial?
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Inclusion
Exclusion
What this trial measures
- Change in VTI cutoff in TP that predicts fluid responsiveness~1 year
The objective of this study is to determine the change in VTI cutoff with Trendelenburg positioning that would predict fluid responsiveness in medical and surgical intensive care unit patients.