Hemodynamic Monitoring
Conditions
Keywords
Cardiac Index (CI), Stroke Volume (SV), Stroke Volume Index (SVI), Stroke Volume Variation (SVV), Heart Rate (HR), Ventricular Ejection Time (VET), Total Peripheral Resistance (TPR), Total Peripheral Resistance Index (TPRI), Cardiac Power (CP), Cardiac Power Index (CPI), Blood Oxygenation (SPO2), Oxygen Delivery Index (DO2I), Electrical impedance of the chest cavity (Z0), Thoracic Fluid Content (TFC)
Brief summary
Hemodynamic optimization of critically ill patients is a goal for clinicians in order to afford the patient the best possible outcomes. Being able to precisely and rapidly determine patient fluid responsiveness provides the bedside physician and nursing staff the information needed to make critical decisions in regards to the patient's fluid status and management of additional fluids and medications. As fluid management and cardiac output determination are linked to better decision-making and improved outcomes in ICU, the use of a dynamic assessment of fluid responsiveness becomes a key tool for patient management. This study is designed to collect treatment and outcome data on patients that have undergone hemodynamic monitoring in a wide variety of clinical settings, involving a variety of patient diagnoses.
Interventions
DEVICEStarling
Starling is a portable, non-invasive, cardiac output detector system. The Starling monitor measures the cardiac output by employing electrical bioreactance that measures the electrical characteristics of a volume of tissue and fluid. In the case of cardiac output measurements, the relevant tissue includes the heart and the immediate surrounding volume of the thorax. The relevant fluid is blood. Baxter Healthcare's Starling electrode is a double electrode sensor. Within each sensor, one electrode is used to transmit a high frequency sine wave into the body, while the resulting voltage is measured at the adjacent electrode. Four electrodes are placed at specific areas of the thorax, the impedance to the current flow calculated, and the electrical bioreactance waveform constructed. This information is used to determine cardiac output, and measures and displays associated hemodynamic parameters based on calculations of measurements already incorporated into the Starling device.
Sponsors
Baxter Healthcare Corporation
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 95 Years
Healthy volunteers
No
Inclusion criteria
* ≥18 to 95 years of age * Patient has undergone hemodynamic monitoring with the Starling monitor * Hemodynamic monitoring was completed no earlier than 2018
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 30 day in-hospital mortality rate | Day 1 to Day 30 |
| Number of days on vasopressors | Day 1 to Day 30 |
| Volume of treatment fluid administered | Time of monitoring to completion |
| Number of participants needing mechanical ventilation | Time of monitoring to completion |
| Lactate level | Time of monitoring to completion |
| Number of days in Intensive Care Unit (ICU) | Day 1 to Day 30 |
| Number of days in Hospital | Day 1 to Day 30 |
Secondary
| Measure | Time frame |
|---|---|
| Number of participants with device related Serious Adverse Events | Time of monitoring to completion |
| Number of participants with device related Non-Serious Adverse Events | Time of monitoring to completion |
| Number of participants with COVID-19 | Time of monitoring to completion |
| Number of participants with COVID-19 by treatment type | Time of monitoring to completion |
| Number of participants with COVID-19 by outcome type | Time of monitoring to completion |
| Percent of participants that are fluid responsive | Time of monitoring to completion |
| Number of participants with diastolic dysfunction | Time of monitoring to completion |
| Percent of participants with fluid responsiveness in diastolic dysfunction | Time of monitoring to completion |
Countries
United States
Outcome results
None listed