[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"hemodynamic-monitoring\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:hemodynamic-monitoring":25},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,8,0,[8,42,75,113,142,186,202,237],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":4,"briefSummary":22,"conditions":23,"keywords":27,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":30,"lastUpdatePostDateStruct":31,"startDateStruct":34,"completionDateStruct":36,"leadSponsor":38,"locationsCount":41},"100632652","comparison-of-acoustic-variability-index-avi-and-pulse-pressure-variation-ppv-for-predicting-fluid-responsiveness-in-mechanically-ventilated-patients-100632652",false,"NCT07516470","Comparison of Acoustic Variability Index (AVI) and Pulse Pressure Variation (PPV) for Predicting Fluid Responsiveness in Mechanically Ventilated Patients","A Prospective, Single-Center, Single-Arm, Paired-Comparison, Open-Label, Non-Inferiority Confirmatory Trial to Evaluate the Efficacy and Safety of ResQ by Comparing Fluid Responsiveness Prediction Performance of the Acoustic Variability Index (AVI) Versus Pulse Pressure Variation (PPV) in Mechanically Ventilated Patients","Inclusion Criteria:\n\nTo participate in this study, individuals must meet all of the following criteria:\n\n* Adults aged 19 years or older.\n* If female, not pregnant or breastfeeding.\n* Scheduled for a planned surgery of major organs in the abdominal, retroperitoneal, or pelvic cavities (e.g., hepatobiliary and pancreatic, small intestine, large intestine, kidney, uterus) under general anesthesia with mechanical ventilation\n* Classified as American Society of Anesthesiologists (ASA) Class I, II, or III. (Note: Excluded regardless of class if any exclusion criteria are met)\n* Scheduled to receive mechanical ventilation in a volume-controlled or pressure-controlled mode in the operating room or intensive care unit, with an anticipated tidal volume of 6-8 mL\u002Fkg (Ideal Body Weight), respiratory rate of 8-14 breaths\u002Fmin, and PEEP of 0-5 cmH2O\n* Scheduled for hemodynamic monitoring to measure the comparison indices during surgery\n* Able to understand the study's purpose and procedures and communicate clearly with the investigator and research staff\n* Voluntarily signed the written informed consent form before participating in the study\n\nExclusion Criteria:\n\nIndividuals meeting any of the following criteria will be excluded from participation:\n\n* Undergoing emergency or unplanned surgery\n* Anticipated to have difficulty with the application of general anesthesia or mechanical ventilation\n* Anticipated to experience massive bleeding of 1 L or more during surgery.\n* Undergoing a reoperation due to the same underlying disease\n* History of severe esophageal damage (e.g., esophageal varices or stricture) that makes inserting the probe difficult\n* Inability to have an arterial catheter inserted, making the measurement of Stroke Volume Variation (SVV) and Pulse Pressure Variation (PPV) difficult\n* Condition where a fluid challenge is contraindicated or considered high risk (e.g., clinical signs of fluid overload, pulmonary congestion, or pulmonary edema; acute exacerbation of heart failure or renal failure; or a hemodynamically unstable state)\n* Body Mass Index (BMI) greater than 30 kg\u002Fm²\n* Uncontrolled coagulopathy prior to surgery (e.g., Platelet count \\\u003C 100,000\u002FμL or INR \\> 2)\n* Arrhythmias, such as atrial fibrillation\u002Fflutter or premature atrial\u002Fventricular contractions (\\>2 per 10 seconds), that make it difficult for the variability index to operate accurately\n* Other cardiovascular history that makes accurate cardiac output measurement impossible (e.g., severe valvular disease, history of intracardiac shunt surgery, or structural heart surgery)\n* Pregnant or lactating women\n* Any other condition deemed unsuitable for study participation by the investigator","ALL","19 Years",{"count":19,"type":20},122,"ESTIMATED","OBSERVATIONAL","The goal of this clinical trial is to learn if a new medical device called ResQ works to predict fluid needs in adults undergoing surgery under general anesthesia. The main questions it aims to answer are:\n\n* Can the Acoustic Variability Index (AVI) measured by ResQ predict if a participant needs more fluids as accurately as the standard arterial blood pressure-based method (PPV)?\n* Is the ResQ device safe to use during surgery? Researchers will compare the new method (AVI) to the standard method (PPV) to see if ResQ provides reliable information for managing patient fluids.\n\nParticipants will:\n\n* Undergo their planned surgery as scheduled.\n* Have a soft probe placed in the esophagus to monitor heart and lung sounds.\n* Receive a set amount of intravenous (IV) fluid as part of their regular surgery care.\n* Have their heart function checked before and after the fluids are given.",[24,25,26],"Fluid Responsiveness Predictability","Hemodynamic Monitoring","Anesthesia, General",[28,25],"Fluid Responsiveness","RECRUITING","2026-04-23",{"date":32,"type":33},"2026-04-29","ACTUAL",{"date":35,"type":33},"2026-04-13",{"date":37,"type":20},"2026-12",{"name":39,"class":40},"Signal House Co., Ltd.","INDUSTRY",1,{"id":43,"slug":44,"hasResults":11,"nctId":45,"briefTitle":46,"officialTitle":47,"acronym":48,"eligibilityCriteria":49,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":4,"enrollmentInfo":51,"targetDuration":53,"studyType":21,"phases":4,"briefSummary":54,"conditions":55,"keywords":59,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":65,"lastUpdatePostDateStruct":66,"startDateStruct":68,"completionDateStruct":70,"leadSponsor":72,"locationsCount":41},"100623438","machine-learning-assisted-management-of-intraoperative-hypotension-for-personalized-treatment-100623438","NCT07396636","Machine Learning-Assisted Management of Intraoperative Hypotension for Personalized Treatment","Machine Learning-Assisted Intraoperative Hypotension Management: Developing Personalized Treatment Recommendations","HYPOGUARD","Inclusion Criteria:\n\n* Adult patients aged 18 years or older\n* Patients scheduled for elective surgical procedures\n* Procedures performed under general anesthesia\n* Availability of continuous invasive arterial blood pressure monitoring during the intraoperative period\n* Planned surgical duration of at least 2 hours\n* Ability to provide written informed consent for participation in the study\n\nExclusion Criteria:\n\n* Emergency surgery\n* Diagnosis of sepsis, septic shock, or advanced cardiogenic shock\n* Cardiac rhythm disturbances that prevent reliable hemodynamic measurements (e.g., atrial fibrillation)\n* Severe left ventricular dysfunction or advanced heart failure (ejection fraction \\\u003C30%)\n* Inability to maintain intraoperative arterial cannulation due to technical or clinical reasons\n* Inability to provide informed consent (e.g., cognitive impairment or refusal to participate)","18 Years",{"count":52,"type":20},50,"1 Day","Intraoperative hypotension, defined as a drop in blood pressure during surgery, is a frequent event in patients undergoing general anesthesia. Even brief episodes of low blood pressure may reduce blood flow to vital organs such as the brain, heart, and kidneys, and have been associated with an increased risk of postoperative complications, prolonged recovery, and worse clinical outcomes. Despite its clinical importance, the management of intraoperative hypotension is often based on general guidelines and individual clinician experience rather than patient-specific physiological mechanisms.\n\nLow blood pressure during surgery can occur for different underlying reasons, including reduced circulating blood volume, excessive vasodilation caused by anesthetic agents, impaired heart contractility, or abnormalities in heart rate. In routine practice, these mechanisms are not always clearly distinguished, and similar treatment strategies may be applied to patients with different physiological causes of hypotension. As a result, the response to treatment can vary widely between patients.\n\nThis prospective observational study aims to improve the understanding of intraoperative hypotension by collecting detailed hemodynamic data during surgery and analyzing these data using machine learning methods. The study is designed to observe current clinical practice without altering or interfering with routine patient care. All decisions regarding anesthesia management and treatment of hypotension will be made by the attending anesthesiologists according to standard clinical practice. The research team will not provide treatment recommendations during surgery.\n\nAdult patients undergoing elective surgery under general anesthesia with continuous invasive arterial blood pressure monitoring will be included. During the intraoperative period, blood pressure, heart rate, cardiac output, stroke volume, systemic vascular resistance, and other advanced hemodynamic parameters will be continuously recorded at regular intervals. When hypotension occurs, the onset, duration, and severity of the episode will be documented, along with the treatment applied, such as fluid administration, vasopressor agents, or inotropic medications. The time required for blood pressure to recover to an acceptable level will also be recorded.\n\nThe collected data will be analyzed using machine learning techniques to identify distinct subtypes of intraoperative hypotension based on physiological patterns. These subtypes may reflect different underlying mechanisms, such as hypovolemia, vasodilation, myocardial depression, or heart rate-related causes. In addition, the study will evaluate how different treatment strategies perform across these hypotension subtypes and how quickly hemodynamic stability is restored.\n\nPatient-related factors such as age, sex, body mass index, physical status classification, and comorbid conditions will also be examined to determine their relationship with the occurrence, severity, and treatment response of hypotension episodes. By combining patient characteristics, physiological data, and treatment responses, the study aims to generate data-driven insights into personalized hypotension management.\n\nThe ultimate goal of this research is to support the development of individualized treatment recommendations for intraoperative hypotension based on objective physiological data rather than a one-size-fits-all approach. The findings of this study are expected to provide a strong scientific foundation for future clinical decision-support systems that can assist anesthesiologists in selecting the most appropriate treatment strategy for each patient. By improving the precision of blood pressure management during surgery, this approach has the potential to enhance patient safety and perioperative outcomes while maintaining standard clinical workflows.",[56,57,25,58,26],"Intraoperative Hypotension","Perioperative Care","Blood Pressure",[60,61,62,63,64],"Intraoperative hypotension","Machine learning","Personalized treatment","Clinical decision support","Hemodynamic instability","2026-04-06",{"date":67,"type":33},"2026-04-09",{"date":69,"type":33},"2026-03-03",{"date":71,"type":20},"2026-09-30",{"name":73,"class":74},"Nevsehir Public Hospital","OTHER_GOV",{"id":76,"slug":77,"hasResults":11,"nctId":78,"briefTitle":79,"officialTitle":80,"acronym":81,"eligibilityCriteria":82,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":4,"enrollmentInfo":83,"targetDuration":4,"studyType":21,"phases":4,"briefSummary":85,"conditions":86,"keywords":90,"overallStatus":103,"whyStopped":4,"lastUpdateSubmitDate":104,"lastUpdatePostDateStruct":105,"startDateStruct":107,"completionDateStruct":109,"leadSponsor":111,"locationsCount":41},"100616395","study-of-ultrasound-windows-for-measuring-inferior-vena-cava-changes-before-cardiac-surgery-100616395","NCT07305051","Study Of Ultrasound Windows For Measuring Inferior Vena Cava Changes Before Cardiac Surgery","Comparison of Transhepatic and Subcostal Views for Assessing Inferior Vena Cava Diameter Variation in Cardiac Surgery Patients","THRIVE-CARD","Inclusion Criteria:\n\n* Adults aged eighteen years or older\n* Scheduled to undergo cardiac surgery at Sunnybrook Health Sciences Centre\n* Spontaneously breathing at the time of ultrasound assessment\n* Able to lie supine for image acquisition\n* Able to provide written informed consent\n\nExclusion Criteria:\n\n* Inability to lie supine\n* Known right heart failure\n* Moderate to severe tricuspid regurgitation\n* Portal hypertension\n* End-stage renal disease\n* Presence of abdominal dressings or conditions that preclude transhepatic imaging\n* Poor acoustic windows that prevent adequate measurement from either the subcostal or transhepatic view, despite standard optimization techniques (positioning, breathing coaching, depth and gain adjustment, probe angulation)",{"count":84,"type":20},283,"This research study will compare two ultrasound methods for assessing the inferior vena cava (IVC), a major vein that reflects intravascular fluid status and cardiac function before and after surgery. The standard method uses a subcostal ultrasound view obtained below the breastbone, but this approach may be limited in patients with obesity, surgical dressings, or postoperative discomfort. An alternative approach, the transhepatic view, uses the liver as an acoustic window and may provide improved feasibility in these situations.\n\nThe study will evaluate whether the transhepatic view provides measurements comparable to the standard subcostal view and whether operators with different levels of ultrasound experience obtain consistent results using both methods. Adult patients who are awake and scheduled for cardiac surgery at Sunnybrook Health Sciences Centre will undergo a brief ultrasound examination before surgery. The scan takes less than 10 minutes, involves no discomfort, and does not alter clinical care. This is a minimal-risk observational study with no therapeutic interventions. Participation is voluntary, and all personal health information will remain confidential. Findings may inform future approaches to ultrasound-guided assessment and training in perioperative care.",[87,25,88,89],"Perioperative Fluid Management","Inferior Vena Cava Collapsibility Index","Cardiac Surgery Patients",[91,92,93,94,95,96,97,98,99,100,101,102],"point-of-care ultrasound (POCUS)","Transhepatic view","Subcostal view","Inferior vena cava (IVC)","Echocardiography","Ultrasound imaging","Central venous assessment","Cardiac surgery","Fluid status assessment","Interrater reliability","Sunnybrook Health Sciences Centre","Adult patients","NOT_YET_RECRUITING","2025-12-11",{"date":106,"type":33},"2025-12-26",{"date":108,"type":20},"2026-01",{"date":110,"type":20},"2028-12",{"name":101,"class":112},"OTHER",{"id":114,"slug":115,"hasResults":11,"nctId":116,"briefTitle":117,"officialTitle":117,"acronym":4,"eligibilityCriteria":118,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":4,"enrollmentInfo":119,"targetDuration":4,"studyType":21,"phases":4,"briefSummary":121,"conditions":122,"keywords":127,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":132,"lastUpdatePostDateStruct":133,"startDateStruct":135,"completionDateStruct":137,"leadSponsor":139,"locationsCount":141},"100613726","evaluation-of-cerebral-oxygenation-during-orthopedic-surgeries-performed-in-the-beach-chair-position-under-general-anesthesia-100613726","NCT07270341","Evaluation of Cerebral Oxygenation During Orthopedic Surgeries Performed in the Beach Chair Position Under General Anesthesia","Inclusion Criteria:\n\n* Patients scheduled for orthopedic surgery in the semi-sitting position\n* ASA physical status I-III\n* Voluntary participation with informed consent\n\nExclusion Criteria:\n\n* Patients younger than 18 years\n* Patients who do not provide consent\n* History of cerebral ischemia\n* History of head trauma\n* Previous neurosurgical intervention\n* Documented carotid stenosis ≥90%\n* Previous neck surgery",{"count":120,"type":20},40,"The goal of this observational study is to determine the correlation between cerebral oxygenation values measured by near-infrared spectroscopy (NIRS) and other routine monitoring parameters in patients placed in the semi-sitting position.\n\nThe primary questions investigated are :\n\nDo NIRS values correlate with heart rate, invasive mean arterial pressure, and end-tidal carbon dioxide?\n\nDo NIRS values reflect changes observed in arterial blood gas analysis?\n\nAre cerebral perfusion-related parameters associated with patients' comorbidities such as diabetes, obesity, and hypertension?\n\nResearchers will compare routine noninvasive monitoring (heart rate, blood pressure, peripheral oxygen saturation) with invasive arterial monitoring and NIRS to assess whether NIRS provides additional information for evaluating cerebral perfusion.\n\nParticipants will be monitored for:\n\nHeart rate\n\nInvasive mean arterial pressure\n\nEnd-tidal carbon dioxide\n\nArterial blood gas changes\n\nCerebral oxygenation with NIRS\n\nPatients' comorbidities (e.g., diabetes, obesity, hypertension) will also be recorded, and their association with perfusion-related parameters will be analyzed.",[123,124,25,125,126],"Cerebral Perfusion","Cerebral Oxygenation","Semi-sitting Position","Orthopedic Surgical Procedures",[128,129,130,131],"cerebral perfusion","semi-sitting position","orthopedic surgery","cerebral oxygenation","2025-12-05",{"date":134,"type":33},"2025-12-08",{"date":136,"type":33},"2024-10-01",{"date":138,"type":20},"2026-05-30",{"name":140,"class":112},"Akdeniz University",2,{"id":143,"slug":144,"hasResults":11,"nctId":145,"briefTitle":146,"officialTitle":147,"acronym":4,"eligibilityCriteria":148,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":149,"enrollmentInfo":150,"targetDuration":4,"studyType":152,"phases":153,"briefSummary":155,"conditions":156,"keywords":161,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":177,"lastUpdatePostDateStruct":178,"startDateStruct":180,"completionDateStruct":182,"leadSponsor":184,"locationsCount":41},"100561711","hemodynamic-monitoring-and-fluid-responsiveness-in-venovenous-extracorporeal-membrane-oxygenation-vv-ecmo---hemodynamecmonitoring-vv-study-100561711","NCT06593717","Hemodynamic Monitoring and Fluid Responsiveness in Venovenous Extracorporeal Membrane Oxygenation (VV ECMO) - \"HemodynamECMOnitoring-VV Study\"","Validation of Techniques for Hemodynamic Monitoring and Prediction of Fluid Responsiveness in Patients Undergoing Venovenous Extracorporeal Membrane Oxygenation - A Prospective Diagnostic Accuracy Study (\"HemodynamECMOnitoring-VV Study\")","Inclusion Criteria:\n\n* Patient receiving VV-ECMO support\n* Age 18 - 75 years\n\nExclusion Criteria:\n\n* Pregnancy\n* Conditions not allowing for passive leg raising maneuvers, e.g. \"open abdomen\", known or suspected elevation of intracranial pressure, recent leg or spinal trauma or orthopedic conditions not permitting leg raising\n* Known ischemic or hemorrhagic stroke within 3 months prior to study enrollment.\n\nSuspicion of raised intracranial pressure is defined as pupil divergence (if not yet further clarified radiographically\u002Fneurologically\u002Fophthalmologically) or signs detected in routine computed tomography scans (compressed or elapsed basal cisterns or midline shift \\> 5 mm.","75 Years",{"count":151,"type":20},30,"INTERVENTIONAL",[154],"NA","In extracorporeal membrane oxygenation (ECMO), blood is drawn out of the body via tubes, oxygenated in an artificial lung; and then pumped back into the blood vessels. This allows the supply of oxygen-rich blood to the organs (brain, heart, lungs, kidneys, liver, intestines, etc.) to be maintained.\n\nContinuous monitoring of cardiac function and circulatory status (blood pressure, blood flow to organs) is very important in intensive care medicine in order to control the administration of circulation-supporting medication and infusions. Various devices are routinely used for this task. However, in the specific situation of ECMO treatment, the measurements of these devices could be affected due to the artificial circulation; outside the body.\n\nThe purpose of this study is therefore to test the accuracy of different methods of circulation monitoring during ECMO treatment.",[157,158,159,160,25,28],"ECMO Treatment","ARDS","Pneumonia","Intensive Care",[162,163,158,164,165,25,28,166,167,168,169,170,171,172,173,174,175,176],"VV ECMO","Extracorporeal Membrane Oxygenation","Intensive Care Medicine","Critical Care Medicine","Passive Leg Raising","Pulse Contour Analysis","Transpulmonary Thermodilution","Bioreactance","Pulse Pressure Variation","End-expiratory Occlusion Test","End-inspiratory Occlusion Test","Cardiac Output","LVOT VTI","Stroke Volume","Vena Cava Ultrasound","2025-09-23",{"date":179,"type":33},"2025-09-29",{"date":181,"type":33},"2024-05-03",{"date":183,"type":20},"2027-01",{"name":185,"class":112},"Medical University of Vienna",{"id":187,"slug":188,"hasResults":11,"nctId":189,"briefTitle":190,"officialTitle":191,"acronym":4,"eligibilityCriteria":192,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":149,"enrollmentInfo":193,"targetDuration":4,"studyType":152,"phases":194,"briefSummary":195,"conditions":196,"keywords":197,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":177,"lastUpdatePostDateStruct":198,"startDateStruct":199,"completionDateStruct":200,"leadSponsor":201,"locationsCount":41},"100561714","hemodynamic-monitoring-and-fluid-responsiveness-in-venoarterial-extracorporeal-membrane-oxygenation-va-ecmo---hemodynamecmonitoring-va-study-100561714","NCT06593756","Hemodynamic Monitoring and Fluid Responsiveness in Venoarterial Extracorporeal Membrane Oxygenation (VA ECMO) - \"HemodynamECMOnitoring-VA Study\"","Validation of Techniques for Hemodynamic Monitoring and Prediction of Fluid Responsiveness in Patients Undergoing Venoarterial Extracorporeal Membrane Oxygenation - A Prospective Diagnostic Accuracy Study (\"HemodynamECMOnitoring-VA Study\")","Inclusion Criteria:\n\n* Patient receiving VA ECMO support\n* Age 18 - 75 years\n\nExclusion Criteria:\n\n* Pregnancy\n* Conditions not allowing for passive leg raising maneuvers, e.g. \"open abdomen\", known or suspected elevation of intracranial pressure, recent leg or spinal trauma or orthopedic conditions not permitting leg raising\n* Known ischemic or hemorrhagic stroke within 3 months prior to study enrollment.",{"count":151,"type":20},[154],"In extracorporeal membrane oxygenation (ECMO), blood is drawn out of the body via tubes, oxygenated in an artificial lung; and then pumped back into the blood vessels. This allows the supply of oxygen-rich blood to the organs (brain, heart, lungs, kidneys, liver, intestines, etc.) to be maintained. Continuous monitoring of cardiac function and circulatory status (blood pressure, blood flow to organs) is very important in intensive care medicine in order to control the administration of circulation-supporting medication and infusions. Various devices are routinely used for this task. However, in the specific situation of ECMO treatment, the measurements of these devices could be affected due to the artificial circulation; outside the body. The purpose of this study is therefore to test the accuracy of different methods of circulation monitoring during ECMO treatment.",[157,158,159,160,25,28],[162,163,158,164,165,25,28,166,167,168,169,170,171,172,173,174,175,176],{"date":179,"type":33},{"date":181,"type":33},{"date":183,"type":20},{"name":185,"class":112},{"id":203,"slug":204,"hasResults":11,"nctId":205,"briefTitle":206,"officialTitle":206,"acronym":4,"eligibilityCriteria":207,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":4,"enrollmentInfo":208,"targetDuration":4,"studyType":152,"phases":210,"briefSummary":211,"conditions":212,"keywords":221,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":228,"lastUpdatePostDateStruct":229,"startDateStruct":231,"completionDateStruct":233,"leadSponsor":235,"locationsCount":41},"100597765","the-role-of-swan-ganz-catheter-in-hemodynamic-resuscitation-for-patients-with-cardiogenic-shock-100597765","NCT07062744","The Role of Swan-Ganz Catheter in Hemodynamic Resuscitation for Patients With Cardiogenic Shock","Inclusion Criteria:\n\n* Age ≥ 18 years.\n* Provided written informed consent to participate in the study.\n* Diagnosed with cardiogenic shock due to acute myocardial infarction according to IABP-SHOCK II (2012) criteria:\n\n  * Systolic blood pressure (SBP) \\\u003C 90 mmHg for at least 30 minutes, or requiring vasopressor agents to maintain SBP \\> 90 mmHg.\n  * Evidence of end-organ hypoperfusion, indicated by at least one of the following: Altered mental status, Urine output \\\u003C 30 mL\u002Fhour, Cold extremities with mottled skin, Serum lactate level \\> 2 mmol\u002FL.\n\nExclusion Criteria:\n\n* Presence of cervical cellulitis.\n* Inability to identify neck anatomy or history of cervical radiotherapy.\n* Coagulopathy (INR \\> 1.5 and\u002For platelet count \\\u003C 50 G\u002FL).\n* End-stage chronic diseases, including: Advanced malignancy, advanced-stage HIV, bedridden patients for more than 3 months, decompensated liver cirrhosis (Child-Pugh class C).\n* Patients with cardiac arrest or mechanical complications such as myocardial rupture prior to Swan-Ganz catheterization.\n* Congenital heart defects or intracardiac shunts. Refusal of participation by the patient or their legal representative.",{"count":209,"type":20},108,[154],"This clinical trial examines whether the use of the Swan-Ganz catheter, a specialized pulmonary artery catheter, can improve hemodynamic management and treatment outcomes in patients experiencing cardiogenic shock due to acute myocardial infarction (AMI).\n\nCardiogenic shock is a critical condition marked by the heart's inability to supply adequate blood to the organs, often resulting from a severe heart attack. Despite advancements in care, the condition remains associated with high mortality. Effective monitoring of cardiovascular status is crucial in guiding timely and tailored treatment decisions.\n\nParticipants in this study will undergo advanced hemodynamic monitoring using the Swan-Ganz catheter, which provides continuous data on cardiac output and other key parameters. This information enables physicians to better assess circulatory function and adjust therapies accordingly.\n\nThe research will evaluate clinical characteristics, response to treatment, and 30-day outcomes in patients managed with this technique. The study also aims to identify factors associated with successful hemodynamic stabilization and potential complications related to catheter use.\n\nA total of 108 adult patients meeting specific eligibility criteria will be enrolled at Bach Mai Hospital over 3 years. Participation is voluntary, and all patients will continue to receive standard-of-care treatment. All personal and medical data will be handled with strict confidentiality.",[213,214,215,216,25,217,218,219,220],"Cardiogenic Shock","Pulmonary Artery Catheter Waveform Interpretation","Hemodynamic Management","Hemodynamic Optimization","Acute Myocardial Infarction (AMI)","Critical Care, Intensive Care","Emergency","Cardio Vascular Disease",[222,223,224,225,226,227],"Swan-Ganz","Pulmonary Artery Catheter","Cardiogenic shock","Hemodynamic management","Invasive hemodynamic","Right Heart Catheter","2025-07-10",{"date":230,"type":33},"2025-07-14",{"date":232,"type":33},"2025-05-27",{"date":234,"type":20},"2027-12-30",{"name":236,"class":112},"Bach Mai Hospital",{"id":238,"slug":239,"hasResults":11,"nctId":240,"briefTitle":241,"officialTitle":241,"acronym":4,"eligibilityCriteria":242,"healthyVolunteers":11,"sex":16,"minAge":50,"maxAge":4,"enrollmentInfo":243,"targetDuration":4,"studyType":21,"phases":4,"briefSummary":244,"conditions":245,"keywords":4,"overallStatus":29,"whyStopped":4,"lastUpdateSubmitDate":247,"lastUpdatePostDateStruct":248,"startDateStruct":250,"completionDateStruct":252,"leadSponsor":254,"locationsCount":41},"100586663","comparison-of-cardiac-index-and-stroke-volume-index-measured-by-pulmonary-artery-catheter-flotrac-and-argos-in-cardiac-surgery-patients-100586663","NCT06918301","Comparison of Cardiac Index and Stroke-volume-index Measured by Pulmonary Artery Catheter, FloTrac® and Argos® in Cardiac Surgery Patients.","Inclusion Criteria:\n\n* Patient after cardiac surgery with pulmonary artery catheter\n\nExclusion Criteria:\n\n* Hemodynamic instability, no consent",{"count":120,"type":20},"A comparison of cardiac performance determined by stroke-volume-index measured by different mechanisms in patients during and after cardiac surgery:\n\n1. Pulmonary artery catheter\n2. Flo Trac\n3. Argos Monitor Investigations will be done in theater and on ICU in ventilated and spontaneously breathing patients.",[246,25],"Cardiac Failure Acute","2025-04-05",{"date":249,"type":33},"2025-04-09",{"date":251,"type":33},"2025-03-01",{"date":253,"type":20},"2025-12-01",{"name":255,"class":112},"Karlsburg Hospital"]