Cardiac Anaesthesia, Cardiac and Aortic Surgery, Fluid Resuscitation, Venous Congestion
Conditions
Brief summary
The objective of this study is to assess how fluid resuscitation, in the context of fluid responsiveness, affects the incidence and progression of systemic venous congestion in critically ill cardiac patients. Additionally, the study aims to evaluate the impact on clinical outcomes, with a particular focus on acute kidney dysfunction. This assessment will utilize the VExUS score in conjunction with comprehensive bedside echocardiographic evaluations.
Interventions
DIAGNOSTIC_TESTVExUS & Cardiac Ultrasound
The VExUS system provides a semi-quantitative assessment of systemic venous congestion by integrating ultrasound evaluations of the inferior vena cava diameter, hepatic vein flow, portal pulsatility, and renal venous flow, offering a practical and comprehensive bedside tool
Sponsors
Medical University of Vienna
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age above 18 years * Admission to cardiac intensive care unit
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Venous congestion | 7 days | Venous congestion as assessed by the VExUS score at ICU admission, and on each of the first seven postoperative days. |
| Acute kidney injury | Twenty-eight days | Acute kidney injury (AKI), defined through the KDIGO criteria, within seven and twenty-eight days of ICU admission. |
Contacts
Primary ContactPedro D Wendel Garcia, Dr. med.
Outcome results
None listed