Sepsis Clinical Trial
Official title:
The Impact of Extended Hemodynamic Monitoring by Focused Transthoracic Echocardiography in Urgent Abdominal Surgery for Septic Patients
The aim of the study is to identify the diagnostic value of the focused assessed echocardiography in septic patients undergoing urgent abdominal surgery due to peritonitis. The investigators expect that the incidence of hemodynamic instability will be reduced and the survival of the patients will be improved.
Often sepsis remains undiagnosed at the very beginning because of the concentration to the
surgical pathology in perioperative period. This results in unacceptably high mortality. The
investigators hypothesize that extended hemodynamic monitoring by focused transthoracic
echocardiography will personalize early fluid resuscitation which will improve patient's
outcome.
The goals of the investigators study are:
- To conduct two-group randomized controlled clinical trial to compare patient management
based on standard monitoring and extended hemodynamic monitoring by focused
transthoracic echocardiography in patients undergoing urgent abdominal surgery due to
peritonitis.
- To demonstrate that patient management based on extended hemodynamic monitoring by
focused echocardiography results in improved survival, reduced incidence of hemodynamic
instability during perioperative period.
- To compare an amount of administrated of intravenous fluids in both groups.
The investigators hypothesize that focused echocardiography monitoring will result in more
administrated intravenous fluids during perioperative period.
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