Hemodynamic Instability
Conditions
Keywords
intra abdominal hypertension, shock, critically ill
Brief summary
This study aims to describe the ratio of the diameter of inferior vena cava to the common femoral vein measured by ultrasonography in critically ill patients with shock, and to evaluate the potential link between this ratio and the existence of intra-abdominal disease.
Detailed description
Among patients presenting with severe abdominal disease and shock, observations shown that the diameter of the common femoral vein was larger than the inferior vena cava. The hypothesis is that this observation could be secondary to a compression of the inferior vena cava related to an increased intra abdominal pressure.
Interventions
PROCEDUREUltrasonography
At the time of ICU admission, among critically ill patients with shock, the investigators will measure the diameter of the common femoral vein and that of the inferior vena cava by ultrasonography.
Sponsors
Centre Hospitalier Universitaire de Besancon
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult * Need for ICU admission * Need for vasopressor (epinephrine or norepinephrine) to obtain a mean arterial pressure at least of 65 mmHg
Exclusion criteria
* Deep venous thrombosis related to inferior vena cava or common femoral veins * Inability to measure inferior vena cava and common femoral vein diameters using ultrasonography
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ratio of the diameter of the inferior vena cava related to the common femoral vein | Up to 28 days after ICU admission |
Countries
France
Contacts
Primary ContactGaël PITON, MD, PhD
Outcome results
None listed