Health Condition 1: R578- Other shock
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with septic shock on invasive mechanical ventilation
Exclusion criteria
Exclusion criteria: 1. BMI more than 30 kg/m2. 2. Shock possibly attributed to other non-sepsis related causes. 3. Significant cardiovascular disease. 4. Increase in Intracranial Pressure 5. Patients of abdominal compartment syndrome. 6. Pregnant female 7. Refusal to participate in study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| T0 determine the thresholds, diagnostic profile, and level of agreement for the value of respiratory variation in peak descending aortic flow (?Vpeak dAo) and in Left ventricular outflow tract (?Vpeak LVOT) before PLR, in predicting preload responsiveness to passive leg raise test among critically ill mechanically ventilated patients presenting with septic shock.Timepoint: At T1- just before the passive leg raise test in semi-recumbent position At T2- 1 minute after the passive leg raise test with head end at zero degree. | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the hemodynamic and echocardiography parameters including Heart Rate (HR), Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP), Mean Arterial Pressure (MAP), SVI, and CI before and after PLR among responders and non-responders among critically ill mechanically ventilated patients presenting with septic shock.Timepoint: At T1- just before the passive leg raise test in semi-recumbent position At T2- 1 minute after the passive leg raise test with head end at zero degree;To compare the percentage change in hemodynamic and echocardiography parameters before and after PLR among responders and non-responders among critically ill mechanically ventilated patients presenting with septic shock.Timepoint: At T1- just before the passive leg raise test in semi-recumbent position At T2- 1 minute after the passive leg raise test with head end at zero degree.;To determine thresholds, diagnostic profile, and level of agreement for absolute and percentage change in ?Vpeak in descending aorta and in Left ventricular outflow tract before and after PLRTamong critically ill mechanically ventilated patients presenting with septic shock.Timepoint: At T1- just before the passive leg raise test in semi-recumbent position At T2- 1 minute after the passive leg raise test with head end at zero degree | — |
Countries
India
Contacts
All India Institute of Medical Sciences, Rishikesh