Prospective Evaluation of Electrical Cardiometry for Hemodynamic Monitoring in COPD Patients Admitted to the Respiratory Intensive Care Unit

Non-invasive Hemodynamic Monitoring in COPD Patients Admitted to the Respiratory Intensive Care Unit: Reliability, Clinical Utility, and Ventilation-related Hemodynamic Changes

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07208578

Enrollment

Registered

2025-10-06

Start date

2026-01-30

Completion date

2027-11-30

Last updated

2025-10-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Non-invasive Electrical Cardiometry

Keywords

non-invasive electrical cardiometry

Brief summary

This study investigates the reliability and clinical usefulness of non-invasive electrical cardiometry (ICON® device) in monitoring hemodynamic changes in COPD patients admitted to the respiratory intensive care unit (RICU).

Detailed description

hemodynamic monitoring is critical in critically ill patients, especially those with COPD experiencing acute respiratory failure. Traditional invasive methods such as pulmonary artery catheterization are accurate but carry procedural risks. The ICON® device enables real-time, continuous, non-invasive assessment of parameters like cardiac output, stroke volume, systemic vascular resistance, and thoracic fluid content using thoracic bioimpedance. This prospective observational study will assess its reliability against clinical outcomes and evaluate the influence of different ventilation strategies (invasive, non-invasive, no ventilation) on hemodynamic changes. Data will be collected serially throughout ICU stay to determine ICON's contribution to optimizing patient management and risk stratification.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Age ≥ 18 years Admission to RICU with COPD or COPD-related acute respiratory failure Informed consent provided by patient or legal representative

Exclusion criteria

* patients \<18 years Pregnant women Injuries, burns, or skin conditions preventing electrode placement Patients with uncontrolled seizures Patients needing electrical DC shock Refusal or withdrawal of informed consent

Design outcomes

Primary

Measure	Time frame	Description
Cardiac output (CO) measured by the electrical cardiometer (ICON®) in COPD patients admitted to the respiratory ICU.	Baseline	The change in cardiac output values during the ICU stay as measured non-invasively by the ICON device, reflecting hemodynamic status.

Outcome results