Mechanical ventilated patient Shock Circulatory failure Fluid challenge Increase oxygen consumption NIRS VOT Circulatory failure Shock Fluid challenge Increase oxygen consumption Mechanical ventilated
Conditions
Interventions
Cardiac output increase at least 15% after fluid challenge.,Cardiac output increase at less than 15% after fluid challenge.,VO2 increase at least 15% after fluid challenge. ,VO2 increase less than 15%
Fluid responder,Fluid non-responder,VO2 responder,VO2 non-responder
Sponsors
Ramathibodi hospital
Eligibility
Sex/Gender
All
Age
19 Years to No maximum
Inclusion criteria
Inclusion criteria: Age 19 Presence of a circulatory failure Need for a fluid challenge, as decided by the attending physician Had jugular venous catheterization in place Hemodynamic monitoring with a Flotrac connected Agree to participate in study and sign the consent form
Exclusion criteria
Exclusion criteria: Pregnancy Moribund At high risk of pulmonary edema from fluid loading as judged by attending physicians Decline to participate in the study or withdraw from the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ability of NIRS-VOT variables to predict VO2 responders in circulatory shock patients Before and after fluid loading NIRS, manual sphygmomanometer, arterial and central venous blood gas | — |
Secondary
| Measure | Time frame |
|---|---|
| To observe whether NIRS-VOT variables change after FC Before and after fluid loading NIRS and manual sphygmomanometer,Ability of ScvO2, lactate, CO2 and O2 derived parameter to predict VO2 responders in circulatory shock patients Before and after fluid loading arterial and central venous blood gas | — |
Countries
Thailand
Contacts
Public ContactKritsiri Cheerasiri
Ramathibodi hospital
Outcome results
None listed