Postoperative critically ill adult patients with oliguria Postoperative critically ill adult patients with oliguria
Conditions
Interventions
RRI was assessed at any 1 hour of oliguria after ICU admission. Then, we started fluid challenge consisted of a 250 ml balanced salt crystalloid infusion within 15 minutes. We also measured RRI after
Experimental Device
RRI change after volume loading
Sponsors
Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1.. Age more than18 years old 2. Postoperative condition 3. Planned postoperative ICU admission 4. Retaining foley catheter 5. Urine output less than 0.5 ml/kg/hr during ICU admission 6. Attending physician planned to treat with intravascular fluid administration 7. Provision of written informed consent
Exclusion criteria
Exclusion criteria: 1. Pregnancy 2. Patients with ESRD 3. Patients undergoing renal transplant 4. Patients undergoing aortic surgery 5. Patients undergoing urologic surgery 6. Known case of renal artery stenosis 7. Patients undergoing cardiac surgery 8. Unable to perform renal Doppler ultrasound at the examined area 9. Intra-abdominal hypertension
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensitivity and specificity of RRI change to predict renal responsiveness 1 hour-urine after fluid loading Change in renal resistive index | — |
Secondary
| Measure | Time frame |
|---|---|
| Sensitivity and specificity of RRI to predict renal responsiveness 1 hour-urine after fluid loading Renal resistive index | — |
Countries
Thailand
Contacts
Public ContactSunthiti Morakul
Mahidol University
Outcome results
None listed