Mechanically ventilated pateints with shock Shock Internal jugular vein distentsibility index End tidal CO2 Fluid responsiveness Shock
Conditions
Interventions
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adult (>18 years old) 2. Mechanically ventilated patients with shock (controlled ventilation; Richmond agitation sedation scale (RASS) less than -3 (moderate sedation)) with tidal volume >/= 8 ml / kg predicted body weight
Exclusion criteria
Exclusion criteria: 1. IJV thrombosis/obstruction/stenosis 2. History of irradiation or surgery of the neck region 3. Atrial fibrillation 4. Significant valvular heart disease 5. Left ventricular assisted device 6. Pregnancy 7. Previous volume expander greater than 4 liters
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cut point point At intervention IJVDi, ETCO2 change | — |
Secondary
| Measure | Time frame |
|---|---|
| Sensitivity At intervention IJVDi, ETCO2 change,Specificity At intervention IJVDi, ETCO2 change,ROC At intervention IJVDi, ETCO2 change | — |
Countries
Thailand
Contacts
Chulalongkorn university