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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT03780660
Other study ID # 2017_60
Secondary ID 2018-A01449-46
Status Recruiting
Phase
First received
Last updated
Start date March 5, 2019
Est. completion date February 2021

Study information

Verified date September 2020
Source University Hospital, Lille
Contact Sébastien Preau, MD
Phone 03.20.44.44.95
Email sebastien.preau@chru-lille.fr
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Volume expansion (VE) is often administered in intensive care (ICU)-patient to improve arterial oxygen delivery. Such effect is secondary to an increase in stroke volume and cardiac output. However, cardiac output increase in response to VE (fluid responsiveness) only occurs when the heart is preload-dependant. Increasing evidence of the deleterious effects of inappropriate fluid administration encourages the development of variables predicting fluid responsiveness, but few have been validated in spontaneously breathing patients.

Central venous pressure (CVP) variation in spontaneously patients during standardized or unstandardized inspiratory maneuver may represent an easy tool to predict fluid responsiveness. The hypothesise is that inspiratory maneuver may increase CVP variation in fluid responsiveness patient whereas no or few variation may reflect fluid unresponsiveness.


Recruitment information / eligibility

Status Recruiting
Enrollment 68
Est. completion date February 2021
Est. primary completion date February 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria

- Spontaneous breathing without mechanical assistance

- Central venous catheter (superior vena cava) and monitoring of central venous pressure

- Urinary catheter and monitoring of intra-abdominal pressure

Exclusion Criteria:

- Intolerance to ventilatory manœuvre including Severe basal dyspnea/Symptomatic heart failure (pulmonary edema)

- Contraindication to passive leg raising (intracranial hypertension)

- Passive leg raising unsuitable for measuring hemodynamic response : High grade aortic insufficiency/ Poor echogenicity unsuitable to measure the velocity-time /integral of aortic blood flow/ Pregnancy/Abdominal hypertension with abdominal compartment syndrome/ Lower leg amputation

- Necessity of urgent hemodynamic therapy (within 90 min)

- Modification of hemodynamic therapy during study protocol (vascular filling, increase catecholamine dose

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
France Hôpital Roger Salengro, CHU Lille

Sponsors (1)

Lead Sponsor Collaborator
University Hospital, Lille

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary the area under the ROC curve of the "CVPV-st" parameter Diagnostic accuracy of the CVPV during a standardized inspiratory maneuver (CVPV-st) to predict fluid responsiveness. an average 60 - 90 minute during the procedure
Secondary the area under the ROC curve of the "CVPV-un" parameter Diagnostic accuracy of the CVPV during an unstandardized inspiratory maneuver (CVPV-un) to predict fluid responsiveness. an average 60 - 90 minute during the procedure
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