Age Problem, Anemia, Ultrasonography
Conditions
Brief summary
The goal of this interventional study is to asses echocardiographic variations in emergency department's elderly patients receiving red blood cell transfusion. The main questions it aims to answer are : * is there a modification of echocardiographic parameters after red blood cell transfusion ? * which parameter is the most impacted by red blood cell transfusion ? Participants will have a transthoracic echocardiography before, just after and 15 minutes after red blood cell transfusion.
Interventions
E wave, A wave, e' and vdi measurement
Sponsors
Study design
Eligibility
Inclusion criteria
* patient needing red blood cell transfusion * consent * social protection
Exclusion criteria
* fluid filing over 500 mL of crystalloids * transfusion in the last hour
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| E/A ratio modification | Base line, just after and 15 minutes after red blood cell transfusion | E/A ratio permits to estimate left ventricle pressure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| E wave deceleration time | Base line, just after and 15 minutes after red blood cell transfusion | E wave deceleration time is a reflect of left atrium pressures |
| E/e' ratio modification | Base line, just after and 15 minutes after red blood cell transfusion | E/e' assesses left ventricle diastolic function |
| Velocity-time Integral (VTI) modification | Base line, just after and 15 minutes after red blood cell transfusion | Aortic velocity-time integral is the reflect of cardiac output |
| Lung score modification | Base line, just after and 15 minutes after red blood cell transfusion | Lung score permits to asses if extravascular water is present in lungs |
| New York Heart Association scale (NYHA) modification | baseline and 24 hour after red blood cells transfusion | NYHA is a validated scale to asses patient dyspnea |
Countries
France