Health Condition 1: J15- Bacterial pneumonia, not elsewhereclassified Health Condition 2: D50-D89- Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism Health Condition 3: I00-I99- Diseases of the circulatory system Health Condition 4: K00-K95- Diseases of the digestive system Health Condition 5: N00-N99- Diseases of the genitourinary system Health Condition 6: M00-M99- Diseases of the musculoskeletal system and connective tissue Health Condit
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >18 years 2. Spontaneously breathing ICU patient 3. Systolic BP
Exclusion criteria
Exclusion criteria: 1. Pregnancy 2. Pulmonary hypertension, severe tricuspid regurgitation, atrial fibrillation 3. Patients with intraabdominal hypertension (pressure >12 cmH2O), Liver Cirrhosis /malignancy, pathology affecting inferior vena cava, carotid disease 4. Excessive intraabdominal bowel gas 5. Patients with COPD 6. known severe cardiovascular or renal impairment 7. Poor echo image quality. 8. Patient with Abdominal surgery 9. Patient without spontaneous breathing effort 10. Patient with neck surgery, trauma, radiotherapy. Obesity BMI >35kg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of diagnostic accuracy of LVOT velocity time integral (VTI) variability, IVC variability & carotid parameters (FTc, Ã?â?Vpeak) for fluid responsiveness in spontaneously breathing ICU patients.Timepoint: before fluid bolus of 500 crystalloid and second reassessment within 30 minutes of completion of fluid bolus | — |
Secondary
| Measure | Time frame |
|---|---|
| Determination of feasibility and difficulty in above methods. 2. Correlation of clinical improvement with fluid responsiveness Timepoint: 18 MONTH | — |
Countries
India
Contacts
AIIMS JODHPUR