Cardiometry, End Tidal Carbon Dioxide, Fluid Responsiveness, Shock
Conditions
Brief summary
This study will be conducted to assess the role of end-tidal carbon dioxide (PETCO2) monitoring to predict the fluid volume responsiveness in correlation with stroke volume variation detected by electrical cardiometry in patients with hemodynamic instability.
Interventions
DEVICEend tidal carbon dioxide by capnography
Moreover, since PETCO2 is mainly determined by tissue CO2 production (VCO2), alveolar ventilation and CO, when stable metabolic conditions are assumed and minute ventilation is kept constant, acute changes in PETCO2 have been shown to correlate strongly with changes in CO. Thus, PETCO2 has been suggested as a simple economic and noninvasive alternative for continuous assessment of CO in different shock states.
Sponsors
Tanta University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* Patients who will be 18 years or older. * Patients on mechanical ventilation in the intensive care. * Patients developing hypotension (MABP) \<65 mmHg.
Exclusion criteria
* Patients with organ/s failure at presentation. * Patients with deep venous thrombosis. * Patients with limb and pelvic fractures. * Pregnant patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of sensitivity and specificity of end tidal carbon dioxide monitoring in predicting fluid responsiveness in correlation with stoke volume variation detected by cardiometry | 24 hour |
Countries
Egypt
Outcome results
None listed