acute circulatory failure
Conditions
Interventions
Gold Standard:After fluid challenge(500ml crystalloid, within 30 min), patients with cadiac index (CI) increased by more than 15%, that is, ''volume responders'', and patients with CI increased by les
Index test:Supine transfer, cardiac index
Sponsors
Fudan University Shanghai Cancer Center
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Aged >18 years. 2. The patient has signs of tissue hypoperfusion, such as: (1) Tachycardia; (2) Damp and cold skin; (3) Blood pressure less than 90/60 mmHg or assessed arterial pressure less than 75mmHg; (4) Urine output less than 0.5ml/kg/h for at least 2 hours.
Exclusion criteria
Exclusion criteria: 1. The patient presented with elevated abdominal pressure (abdominal pressure higher than 12mmHg), arrhythmia, pulmonary hypertension, severe heart valve union, severe thoracic aortic anatomic malformation, external cardiac pacemaker, head trauma, severe heart failure, thrombotic elastic socks, and uncooperative patients, and the researchers considered that the patients were not suitable for inclusion. 2. Patients who are not suitable for inclusion for other reasons, such as those who need immediate rescue if the subject has definite massive bleeding or active bleeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| blood pressure;systolic blood pressure;diastolic blood pressure;cardiac index; | — |
Secondary
| Measure | Time frame |
|---|---|
| heart rate;lactic acid;posotive predictive value;negative predictive value;sensitivity;specificity;P value;best cutoff value;Youden index;central venous prssure; | — |
Countries
China
Contacts
Public ContactZhu Biao
Outcome results
None listed