Ultrasound Assessment of Inferior Vena Cava Collapsibility Index (IVCCI) to Guide Pre-operative Fluid Management in Critically Ill Pre-eclamptic Patients in Comparison with the Standard Fluid Management
Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY
The routine assessment of fluid status depends on clinical evaluation and invasive monitoring. The clinical assessment lacks objectivity and the invasive monitoring carries risks. Point of care ultrasound (POCUS) parameters can be useful as early markers of fluid status and were used in safe fluid assessment in term pregnancy and preeclampsia.
Eligibility
Participation Requirements
Sex: Female
Healthy Volunteers: f
View:
• Critically ill pre-eclamptic patients for cesarean section
Locations
Other Locations
Egypt
Ain shams university
RECRUITING
Cairo
Contact Information
Primary
wessam selima, MD
w.z.selima@med.asu.edu.eg
01001958858
Time Frame
Start Date: 2024-08-15
Estimated Completion Date: 2024-12-20
Participants
Target number of participants: 90
Treatments
Experimental: IVCCI-guided fluid therapy
the participants in this group will receive crystalloids according to the IVCCI assessment as follows:~1. If ≥ 50 % a bolus will be given 300 ml by dripping within 30 minutes, the fluid will be repeated by half the amount if needed to reach equal or less than 40% collapsibility.~2. If \< 50 % or B line finding in lung ultrasound no bolus will be given.
No_intervention: Conventional fluid therapy
the participants in this group will receive the standard regimen; no routine additional fluid within half an hour before surgery only the fixed maintenance of 80-100 ml/hr.
Related Therapeutic Areas
Sponsors
Leads: Ain Shams University