Shock Clinical Trial
Official title:
Does the Use of LiDCOplus Alter Decision-making in Fluid Prescription During Resuscitation in the Intensive Care Unit.
Unwell patients in the intensive care unit (ICU) often need supplementary fluids to be given
into the bloodstream through a drip in a vein (venous cannula), however too much fluid can be
harmful. It can sometimes be difficult to tell whether or not a patient will benefit from
extra fluids so they are given a "fluid challenge", whereby a small volume of fluid is given
quickly into the cannula and the change in their status is noted. If the patient's condition
improves, this suggests that the patient is "fluid responsive" and needs more fluid.
A LiDCOplus haemodynamic monitor is a device used in the ICU to estimate the amount of blood
ejected from the heart on each heartbeat using pressure readings obtained from a tube placed
in one of the patient's arteries (arterial line).
The investigators aim to determine whether or not the use of this device called makes a
difference to the judgement of "fluid responsiveness" when the patient is given a fluid
challenge when compared to simply using measurements of pulse and blood pressure and
assessing the circulation in the patient's limbs. This will allow the investigators to
determine whether or not the LiDCOplus alters the decisions made by doctors and nurses about
how much fluid to give their patients and hence if it is of any benefit.
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