Analysis of Passive Leg Raise Test on Blood Pressure in Critically Ill Patients.

  • STATUS
    Recruiting
  • End date
    Dec 31, 2023
  • participants needed
    50
  • sponsor
    Medical University of Gdansk
Updated on 12 October 2022

Summary

Positioning intensive care patients in Trendelenburg position to identify fluid responsiveness assessed by PiCCO device.

Description

It is a prospective observational study. Patients admitted to Intensive Care Unit of University Clinical Centre of Gdańsk, receiving advanced hemodynamic monitoring with PiCCO method will be enrolled. After blood pressure measurement, PiCCO will be calibrated with transpulmonary thermodilution with 10 - 20 ml of cold saline. Readings will be noted. The patient will be positioned in Trendelenburg position with it's head 15 degrees down. The increase of blood pressure after positioning in relation to the values obtained before the trial will be correlated to the parameters that asses patent's volaemia. After 5 minutes patient will be back to supine position and hemodynamic parameters will be recorded for another 5 minute.

Details
Condition Shock, Hypovolemia, Hemodynamic Instability
Treatment Trendelenburg position
Clinical Study IdentifierNCT05554783
SponsorMedical University of Gdansk
Last Modified on12 October 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

hemodynamic instability
mechanical ventilation

Exclusion Criteria

increased intracranial pressure
increased intraabdominal pressure
lower limbs sequential compression system
agitation
patients exposed to pain stimulus before the test
aortic aneurysm
left to right cardiac shunt
severe valvular insufficiency
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