Health Condition 1: B968- Other specified bacterial agents as the cause of diseases classified elsewhere Health Condition 2: B968- Other specified bacterial agents as the cause of diseases classified elsewhere
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Adults with preserved spontaneous respiratory efforts aged between 18 to 65 years with sepsis requiring vasopressor therapy to maintain MAP of more than or equal 65 mmHg after initial resuscitation or capillary refill time more than 3 seconds or lactate levels more than 2mmol per litre or urine output less than 0.5ml per kg per hr for at least 2hours. Sequential organ failure assessment score more than 2. Patients with arterial catheter and central venous line in situ.
Exclusion criteria
Exclusion criteria: Pregnancy Patients with Arrhythmias, increased intracranial hypertension, head trauma, pain or agitation Right heart failure, defined here as evidence of abnormal RV structure or function with clinical signs of right heart failure, including edema in both legs, hepatomegaly With suspected increased intra-abdominal pressure Ongoing neuromuscular blockade Vasoactive Inotropic Score(VIS) 20 With peripheral vascular disease Burns involving extremities.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the ability of Eadyn-guided dynamic assessment in predicting pressure responsiveness with passive leg raise among critically ill adults with sepsis.Timepoint: on admission to critical care unit | — |
Secondary
| Measure | Time frame |
|---|---|
| To correlate the Eadyn derived from cardiac output monitor alone and the Eadyn derived with echocardiography and cardiac output monitor in responders and non-responders. Timepoint: on admission to critical care unit;To compare velocity time integral (VTI) response to PLR and continuous cardiac output monitor stroke volume response between the responders and non-respondersTimepoint: on admission to critical care unit | — |
Countries
India
Contacts
JIPMER