Fluid Responsiveness Evaluation by AbdomiNal Compression in Kids Based on the STARLING Concept

Launched by HOPITAL LOUIS PRADEL · Jul 21, 2015

Keywords

ClinConnect Summary

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Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age \< 8 years old
• * Patient with a circulatory failure defined as follow :
• • Treatment including vasopressor or inotrope
• • OR macrocirculatory failure
• • Heart rate \> 2 Standard Deviation (SD)
• • Systolic arterial pressure \< 2 SD
• • Mean arterial pressure \< 2 SD
• • Diastolic arterial pressure \< 2 SD
• • WITH signs of microcirculatory failure
• • Capillary refill time \> 2 secondes
• • Blotch
• • Organ dysfunction due to the circulatory failure (Oliguria \< 0,5 ml/kg/h, acute lung injury, encephalopathy)
• Exclusion Criteria:
• • Opposition from the parents or the one who holds the parental authority
• • Cardiogenic acute pulmonary edema,
• • Extreme hemodynamic instability,
• • Intra-abdominal hypertension,
• • Recent abdominal surgery that does not permit an abdominal compression without causing pain.
• • Patient with mechanical circulatory support, such as Extra Corporal Life Support or Berlin-Heart
• • Patient with congenital cardiopathy with a palliative correction or an incomplete correction
• • Open thorax
• • Prone position
• • Investigators not available
• • No security number registration.
• • Moribund patient