Doppler Evaluation for Congestive Acute Kidney Injury in Critical Illness

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Alabama at Birmingham

About this trial

This study will evaluate the use of the Venous Excess Ultrasound (VExUS) score to guide fluid management in critically ill ICU patients through a prospective, multi-aim design combining observational and randomized components. The study will be conducted in the medical intensive care unit (MICU), multidisciplinary critical care unit (MCCU), and cardiac care unit (CCU) at UAB.

Eligibility criteria

Qualifiers

Adults (≥18 years old)

Admitted to the MICU, MCCU, or CCU within 24 hours of admission

Acute kidney injury (AKI) (based on Kidney Disease: Improving Global Outcomes (KDIGO) criteria)

Adequate acoustic windows for a complete VExUS scan

Disqualifiers

< 18 years old

pregnant women

End-stage renal disease (ESRD) or prior renal transplant

Acute tubular necrosis (ATN) defined by urinalysis (≥2+ protein, ≥2+ blood, ≥1 muddy brown cast, ≥1 RBC cast, or ≥1 dysmorphic RBC)'

Trial design

Treatments tested in this trial

  • Fluid Management
  • No intervention

Treatment groups

100 Participants
are divided into 2 treatment groups