septic shock patients septic shock lung ultrasound lung ultrasound score fluid overload
Conditions
Interventions
patients who present with hypotension and signs of poor tissue perfusion and treating physicians suspect to have septic shock and need intravenous fluid for resuscitation.
Diagnostic
Sponsors
Routine to Research Unit, Faculty of Medicine Siriraj Hospital Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. mean arterial pressure < 65 mmHg or signs of poor tissue perfusion 2. suspected to have septic shock
Exclusion criteria
Exclusion criteria: 1. pregnant patients 2. contraindicate to receive intravenous fluid, e.g. pulmonary edema, volume overload 3. receive invasive or non-invasive respiratory support (both NIV and HFNC) 4. patients who have chest wall pathology that LUS cannot be performed 5. patients who LUS might lead to delay in treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| fluid overload 12 hours review patients' record by 2 emergency physicians | — |
Secondary
| Measure | Time frame |
|---|---|
| change in vital signs before and after receiving IV fluid 0, 2, 4 hours data record form,inferior vena cava (IVC) collapsibility index 0, 2, 4 hours ultrasound IVC,amount of IV fluid 0, 2, 4 hour patient record,rate of fluid overload 12 hours review patients' record,mortality rate 7 days review patients' record,rate of mechanical ventilator usage 7 days review patients' record,lenght of hospital stay until discharge review patients' record | — |
Countries
Thailand
Contacts
Public ContactApichaya Monsomboon
Deparment of Emergency Medicine, Faculty of Medicine Siriraj Hospital, Mahidol university
Outcome results
None listed