Critical ill Patient with fluid overload are associated morbidity and mortality. However ,fluid removal need to be done without complication. De-escalation Diuretic Hemodynamic Acute kidney injury
Conditions
Interventions
Critically ill patient during de-escalation phase with negative fluid balance by diuretic administration
Diagnostic
Negative fluid balance after diuretic administration
Sponsors
Dr. Korn chotchaisthit
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1.Patient age 18-75 yrs. 2.Admit in ICU with cardiac output monitoring 3.Vital sign Stable and No need for further resuscitation or minimal dose of vasoactive agent (Dose < 0.05 microgram/kg/hr.) 4.Patient with evidence of accumulated fluid in the body and attention physician design to give diuretic drug to excrete fluid
Exclusion criteria
Exclusion criteria: 1.Patient can not test fluid responsiveness by passive leg raising test 2.ESRD patient with hemodialysis 3. Patient post kidney transplantation 4.Patients who refuse to participate in the study or request to withdraw from the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensitivity and specificity of passive leg raising test in hypotension prediction after fluid removal 6 and 24 hours Blood pressure and Serum creatinine | — |
Secondary
| Measure | Time frame |
|---|---|
| Sensitivity and specificity of passive leg raising test, peripheral perfusion, arterial load in hypotension prediction after fluid removal 6 and 24 hours Blood pressure and Serum creatinine | — |
Countries
Thailand
Contacts
Public ContactKorn Chotchaishit
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Outcome results
None listed