Efficacy of Lung Ultrasound in Monitoring Fluid Resuscitation in Chest Trauma Patients

Lung Injury Clinical Trial

Official title:

Efficacy of Lung Ultrasound in Monitoring Fluid Resuscitation in Trauma Patients

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05054270
• Other study ID #: Chest US in lung contusion
• Status: Not yet recruiting
• Start date: September 30, 2021
• Est. completion date: June 2023

Study information

• Verified date: September 2021
• Source: Assiut University
• Contact: Aya Yassien, Master
• Phone: 01096577262
• Email: Ayayassien1994[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Efficacy of Lung ultrasound in monitoring fluid resuscitation in chest trauma patients with lung contusions

Description:

Trauma is a public health problem, associated to high morbidity and mortality, In Egypt the mortality from road traffic crashes is about 12000 victims per year.

• Chest trauma represents from 10% to 15% of the total number of traumas worldwide.

According to ATLS protocol , early diagnosis and management of Chest trauma are essential. *Pulmonary contusion is found in 30-75% of cases of chest injury.

• point of care Ultrasound (POCUS) is Now a corner stone in Emergency management it can predict lung contusions within the first 72 hours after trauma.

• Recently, LUS Play a major role in assessment of the volume status in Trauma patients.

• B-lines score (BLS) has been validated as a lung ultrasound quantification of pulmonary congestion.The sum of all B-lines yields a score, B-lines score (BLS), which assess the degree of lung contusion. So that LUS may provide a valuable safety threshold to conduct fluid therapy.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 100
• Est. completion date: June 2023
• Est. primary completion date: June 2022
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Age > 18 years.

• chest trauma patients either with or without other injuries.

• Any patient with either blunt or penetrating chest trauma.

Exclusion Criteria:

• - Patients in cardiac arrest.

• Patient refusal to participate

• Pregnant females.

Related Conditions & MeSH terms

• Chest Trauma
• Contusions
• Fluid Overload Pulmonary Edema
• Lung Injury
• Pulmonary Edema
• Thoracic Injuries
• Wounds and Injuries

Intervention

Other:
• Chest examination with Ultrasound device
Chest examination with Ultrasound device

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

References & Publications (3)

Cohn SM. Pulmonary contusion: review of the clinical entity. J Trauma. 1997 May;42(5):973-9. Review. — View Citation

Miller DL, Mansour KA. Blunt traumatic lung injuries. Thorac Surg Clin. 2007 Feb;17(1):57-61, vi. Review. — View Citation

Ullman EA, Donley LP, Brady WJ. Pulmonary trauma emergency department evaluation and management. Emerg Med Clin North Am. 2003 May;21(2):291-313. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of patients with lung contusion	Pulmonary edema will be detected by B_lines trauma patients with lung contusions	Upto 24 hours after trauma
Secondary	Clinical correlation between Type & volume of Fluid & occurance of pulmonary edema. Correlation between severity of pulmonary lung contusion & The final disposition of the patients whatever (OR _another department _death….. etc) upto 24hr.	Follow up on degree of contusions after fluid resuscitation	For first 24 hours after trauma