The Impact of Point-of-Care Ultrasound

Shock Clinical Trial

Official title:

The Impact of Point-of-Care Ultrasound Performed by Trainees to Improve the Prediction of Fluid Responsiveness in Patients With Shock

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03276364
• Other study ID #: 206-13
• Status: Completed
• Phase: N/A
• First received: September 6, 2017
• Last updated: September 6, 2017
• Start date: July 21, 2014
• Est. completion date: April 17, 2015

Study information

• Verified date: September 2017
• Source: Montefiore Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Point-of-care ultrasound (POCUS) has been found to be useful for aiding in the prediction of fluid responsiveness. It is unknown if trainees can effectively utilize this tool to improve their assessment of fluid responsiveness.

In this prospective, observational study, pulmonary and critical care fellows are asked to make 2 assessments of fluid responsiveness in adults with shock: (1) based on clinical exam alone (Clinical) and (2) after performing a POCUS (Clinical + US). The accuracy of their pre- and post-ultrasound assessments are compared using a bioreactance monitor and passive leg raise test as the gold standard of fluid responsiveness in this study.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 112
• Est. completion date: April 17, 2015
• Est. primary completion date: April 17, 2015
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Adults age 18 or older admitted to the MICU with a diagnosis of shock while a fellow was on duty.

Exclusion Criteria:

Related Conditions & MeSH terms

• Shock
• Ultrasound

Intervention

Diagnostic Test:
• Ultrasound
Point-of-care ultrasound examination by pulmonary and critical care fellow

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Montefiore Medical Center	Beth Israel Medical Center

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Fluid responsiveness	Increase of stroke volume index greater than 10% following passive leg raise testing	Immediately subsequent to performance of a point-of-care ultrasound exam