Shock Clinical Trial
Official title:
Echocardiographic Prediction of Fluid Responsiveness After a Mini-fluid Challenge in Non-ventilated Patients With Shock
The main objective of this study is to show that the variation of the subaortic velocity time integral after a mini test by filling 100 cc of normal saline over 1 minute (ΔITV100) is predictive of response to filling (defined as an increase in aortic velocity time integral measured by transthoracic ultrasound over 15% after administration of 500 cc of normal saline over 15 minutes) in non-ventilated shock patients.
The secondary objectives of this study include:
- To determine the sensitivity and specificity of the variation of the velocity time
integral after administration of 100 cc of normal saline over 1 minute (ΔITV100) to
predict the response to the filling.
- To study the inter-observer variation of ΔITV100 measurement.
- To compare ΔITV100 to other clinical and radiological parameters for predicting
response to filling (initial value of the subaortic velocity time integral, variation
in mitral E wave, E / A, respiratory variation of the diameter of the inferior vena
cava, marbling clinical evolution score.
;
Observational Model: Cohort, Time Perspective: Prospective
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