Patients who are admitted to surgical ICUs Intensive care unit
Conditions
Interventions
the change of cardiac index during the Trendelenburg maneuver and fluid responsiveness in patients who required mechanical ventilation with spontaneous breathing activity in a surgical ICU, in which f
Health Services Research
the change of cardiac index
Sponsors
Faculty of Medicine Siriraj Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Patients who are admitted to surgical ICUs aged of more than 18 years old 2.Receiving invasive mechanical ventilation with spontaneous breathing activity 3.Richmond Agitation-Sedation Scale of less than +1 4.Present any signs of inadequate tissue perfusion which are 4.1 MAP of less than 65 mmHg 4.2 HR of more than 100 bpm 4.3 Urine output of less than 0.5 ml/kg/h 4.4 Skin mottling or capillary refilling time of more than 2 seconds 4.5 Serum lactate of more than 1
Exclusion criteria
Exclusion criteria: 1. Patient who refuses to participate in research. 2. Known or suspected increased intracranial or intra-ocular pressure 3. Absolute contraindication of radial artery cannulation 4. Persistent arrhythmias 5. Known severe valvular dysfunction, pulmonary hypertension, or LVEF less than 30% 6. Present signs of cardiogenic pulmonary edema 7. Intra-abdominal hypertension 8. Open thorax 9. Known obstruction or thrombosis of the inferior vena cava or any great veins of the lower limb 10. Lower limb amputation above ankle level 11. Received muscular relaxant agents 12. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| performance of the change of cardiac index The outcome will be analyzed after finished AUROC, sensitivity, specificity | — |
Secondary
| Measure | Time frame |
|---|---|
| N/A N/A N/A | — |
Countries
Thailand
Contacts
Public ContactNattachai Hemtanon
Faculty of Medicine Siriraj Hospital
Outcome results
None listed