The Impact of Point-of-Care Ultrasound

The Impact of Point-of-Care Ultrasound Performed by Trainees to Improve the Prediction of Fluid Responsiveness in Patients With Shock

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03276364

Enrollment

112

Registered

2017-09-08

Start date

2014-07-21

Completion date

2015-04-17

Last updated

2017-09-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Shock, Ultrasound

Brief summary

Point-of-care ultrasound (POCUS) has been found to be useful for aiding in the prediction of fluid responsiveness. It is unknown if trainees can effectively utilize this tool to improve their assessment of fluid responsiveness. In this prospective, observational study, pulmonary and critical care fellows are asked to make 2 assessments of fluid responsiveness in adults with shock: (1) based on clinical exam alone (Clinical) and (2) after performing a POCUS (Clinical + US). The accuracy of their pre- and post-ultrasound assessments are compared using a bioreactance monitor and passive leg raise test as the gold standard of fluid responsiveness in this study.

Interventions

DIAGNOSTIC_TESTUltrasound

Point-of-care ultrasound examination by pulmonary and critical care fellow

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Inclusion criteria

* Adults age 18 or older admitted to the MICU with a diagnosis of shock while a fellow was on duty.

Exclusion criteria

* None

Design outcomes

Primary

Measure	Time frame	Description
Fluid responsiveness	Immediately subsequent to performance of a point-of-care ultrasound exam	Increase of stroke volume index greater than 10% following passive leg raise testing

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026