Venous Congestion and Organ Dysfunction.

  • STATUS
    Recruiting
  • End date
    Nov 28, 2022
  • participants needed
    305
  • sponsor
    Centre Hospitalier Universitaire Dijon
Updated on 28 January 2021

Summary

Venous congestion, which is a phenomenon described in cardiology and post-operative cardiac surgery, is responsible for an increase in morbidity and mortality.

Indeed, it can lead to kidney failure, liver failure, prolonged ileus, scarring complications, and neurological disorders. Clinical and ultrasound indications have been described to diagnose this condition.

To date, this phenomenon is poorly known and not described in intensive care patients outside the cardiac context. However, intensive care patients can present the risk factors associated with the occurrence of congestion: acute cardiac failure, significant water-salt overload, and/or fluid distribution anomalies. Thus, observational studies have found an association between the input-output balance, the quantity of salt-water intake, the presence of right heart dysfunction and the occurrence of acute kidney failure, digestive disorders, hypoxemia and a prolonged stay in intensive care. The presence of a congestive condition is medically treatable since diuretic decongestion is associated with improved cardiac outcomes.

It is therefore necessary, in an intensive care context, to be able to define and diagnose this state of venous congestion, to study its prevalence, and to confirm the existence of a link with organ failure in order to pave the way to known adapted treatment options.

Details
Condition Vascular Diseases, Vascular Diseases, Hyperemia, organ dysfunction syndrome
Treatment collection of biological parameters, collection of echographic parameters, collection of clinical parameters
Clinical Study IdentifierNCT04680728
SponsorCentre Hospitalier Universitaire Dijon
Last Modified on28 January 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Adult
Patient who has expressed his or her non-opposition to the collection of data (or the health care proxy, or a close relative if the patien is unable to receive the information)
Patient admitted to intensive care for less than 24 hours

Exclusion Criteria

Person not affiliated to the national health insurance
Minor, protected major
Pregnant or breastfeeding women
Anechogenicity confirmed by the operator
Chronic atrial fibrillation
Mechanical cardiac assistance
Uncontrolled blood pressure (MAP < 65 mmHg)
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