acute circulatory failure
Conditions
Interventions
Gold Standard:
An increase of >=15% in SVI monitored by PiCCO after 250ml intravenous infusion of 4% albumin within 10 minutes was considered to be volume responsive.
Index test:positional change
Sponsors
Tianjin Third Central Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Age >=18 years; Hemodynamic monitoring is being performed using a PiCCO device; Presence of at least one of the following criteria for tissue hypoperfusion: Systolic blood pressure 50 mmHg in hypertensive patients), or the need for vasoactive drugs (dopamine > 5µg/kg/min or norepinephrine), arterial lactate > 2mmol/L, urine volume 100 beats /min), Prolonged capillary refill time or skin patchy.
Exclusion criteria
Exclusion criteria: The presence of contraindications to rehydration tests (e.g., evidence of acute coronary syndrome, heart failure, cardiogenic shock, or volume overload); Pregnancy; Intracranial hypertension or risk of intracranial hypertension (e.g. cerebrovascular accident, craniocerebral trauma); Wear pressure stockings.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cardiac index;stroke volume index; | — |
Secondary
| Measure | Time frame |
|---|---|
| Central venous pressure;Pulse pressure variation;Stroke volume variation; | — |
Countries
China
Contacts
Public ContactZhiyong Wang
Tianjin Third Central Hospital
Outcome results
None listed