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Comparing early fluid removal guided by ultrasound examination vs usual practice in children admitted to ICU and on ventilator

Early deresuscitation guided by VExUS vs conventional practice in mechanically ventilated children in PICU a randomised controlled trial - EDVEx

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2024/12/078167
Enrollment
160
Registered
2024-12-16
Start date
Unknown
Completion date
Unknown
Last updated
2025-02-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: J969- Respiratory failure, unspecified

Interventions

Intervention1: Venous excess ultrasound (VExUS) assessment: Children will undergo ultrasound evaluation to calculate VExUS score and will be started on furosemide infusion in a protocolised manner de

Sponsors

NIL
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Mechanically ventilated and hemodynamically stable without escalation of vasoactives and requirement of fluid bolus in the previous twelve hours

Exclusion criteria

Exclusion criteria: Right ventricular dysfunction Already on furosemide therapy Chronic kidney disease cirrhosis portal vein thrombosis Anticipated mechanical ventilation less than two days

Design outcomes

Primary

MeasureTime frame
28-day ventilation free daysTimepoint: Number of days free of invasive ventilation from day 0 of randomization till day 28 of randomization Death or discontinuation of care will be recorded as 0

Secondary

MeasureTime frame
Cumulative fluid overload percentageTimepoint: At the end of day 5 of PICU stay;Incidence of new/progressive AKITimepoint: Till 28 days after randomisation or till discharge from PICU or death, whichever is earlier;Oxygenation index until 72 hours after enrolmentTimepoint: Until 72 hours of enrolment;Organ dysfunction scores until 72 hours after enrolmentTimepoint: Until 72 hrs of enrolment

Countries

India

Contacts

Public ContactKarthi Nallasamy

PGIMER: Post Graduate Institute of Medical Education and Research

ny.karthi@gmail.com9814376716

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026