Fluid-responsiveness Assessment Simplified by Electric Cardiometry in Children
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age0-8
SponsorUniversity Hospital, Bordeaux
About this trial
In this study of diagnostic accuracy, the investigators aim to validate a faster, simpler, and noninvasive test of fluid-responsiveness in critically ill children. This test is based on an assessment of the hemodynamic effects of a standardized abdominal compression, using electrical cardiometry. This would help physicians to identify more easily which patient could benefit from a volume expansion, thus avoiding a potentially useless or even dangerous fluid expansion that could lead to fluid overload. To this end, the diagnostic accuracy of electrical cardiometry-based stroke volume (SV) variation induced by a standardized abdominal compression to predict fluid responsiveness (define as a 15% increase in echocardiographically measured SV after volume expansion) will be measured.
Eligibility criteria
Qualifiers
Age less than or equal to 8 years old
Hospitalization in a pediatric intensive care unit
Prescription by the attending physician of a fluid expansion of 10ml/kg
Use of a non-invasive cardiac output monitoring device (electrical cardiometry) as part of routine care
Disqualifiers
Patient less than 37 weeks' corrected gestational age
Hemodynamic instability making the delay necessary for any test dangerous
Supine position contraindicated or deleterious
Impairment of echocardiographic acoustic window or restless patient making ultrasonography impossible
Trial design
Treatments tested in this trial
- validation a test of fluid-responsiveness in critically ill children
Treatment groups
42 Participants
are divided into 1 treatment groupSponsors and collaborators
Source ClinicalTrials.gov