Hemodynamic Instability
Conditions
Keywords
pediatric, cardiac output, fluid responsiveness, critically ill, hemodynamic monitoring
Brief summary
Hemodynamically unstable ventilated PICU & PCICU patients, which a decision for commencement in inotropic therapy or fluid bolus has been made, will be recruited. Hemodynamic measurements will be carried out before and after therapy have been made, including customary hemodynamic parameters, echocardiography and USCOM studies. All parameters will be analyzed for fluid responsiveness or inotropic therapy prediction. Trend in USCOM parameters will be compared to echocardiography CO parameters.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Pediatric critically ill ventilated patients admitted to PICU & PCICU * Hemodynamically unstable which a decision for commencement in inotropic therapy or fluid bolus has been made * parental concent
Exclusion criteria
* Cardiac shunt * Aortal anomaly \\ Repair * Tracheostomy * Parental refusal to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Raise>10% in cardiac index following therapy | 20 minutes |
Countries
Israel