Intra-Abdominal Hypertension, Venous Congestion
Conditions
Brief summary
The goal of this prospective observational study is to examine the potential association between intra-abdominal pressure and venous congestion as assessed by abdominal ultrasound, in critically ill patients in the Intensive Care Unit (ICU). The main question it aims to answer is whether there is association between intra-abdominal pressure and Venous Excess Ultrasound (VExUS) score. Participants will be sonographically assessed and their intra-abdominal pressure measured once within the first 3 days of ICU admission.
Interventions
DIAGNOSTIC_TESTAbdominal ultrasound
Measurement of venous congestion in abdominal target-organs (liver, kidneys) by calculating VExUS score
Sponsors
National and Kapodistrian University of Athens
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Intubated ICU patients on controlled mechanical ventilation, receiving sedation. Patients must have urethral catheter in place.
Exclusion criteria
* age \< 18 year old * pregnancy / lactation * primary liver disease (hepatic cirrhosis, hepatic space-occupying lesions, Budd-Chiari syndrome, portal vein thrombosis) or hepatic surgery * end stage renal failure or on chronic dialysis * non-intubated patients or intubated patients on non-controlled mechanical ventilation mode * absence of urethral catheter, presence of suprapubic catheter, continuous bladder irrigation * poor abdominal echogenicity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| VExUS score difference between the 2 study groups (normal and elevated intra-abdominal pressure) | 01.12.2023 - 01.08.2024 |
Contacts
Primary ContactKyriakos K. Trigkidis, MD
Outcome results
None listed