Correlation of Ultrasonography Indices of Venous Congestion With Intra-abdominal Pressure in ICU Patients.

Launched by NATIONAL AND KAPODISTRIAN UNIVERSITY OF ATHENS · Nov 29, 2023

Keywords

ClinConnect Summary

This clinical trial is looking into the relationship between pressure inside the abdomen and signs of fluid build-up in the veins, using ultrasound scans. The study will take place in the Intensive Care Unit (ICU) and aims to see if higher abdominal pressure is linked to a score that indicates venous congestion, which means that blood is not flowing properly back to the heart.

To participate in this study, patients need to be adults aged 18 and older who are intubated and receiving controlled mechanical ventilation while sedated. They should also have a urinary catheter in place for monitoring. Participants will undergo an ultrasound and have their abdominal pressure measured within the first three days of their ICU stay. It's important to note that patients who are pregnant, have severe liver or kidney issues, or certain other medical conditions will not be eligible for this trial. This study is still in the planning stage and has not started recruiting participants yet.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Intubated ICU patients on controlled mechanical ventilation, receiving sedation. Patients must have urethral catheter in place.
• Exclusion Criteria:
• • age \< 18 year old
• • pregnancy / lactation
• • primary liver disease (hepatic cirrhosis, hepatic space-occupying lesions, Budd-Chiari syndrome, portal vein thrombosis) or hepatic surgery
• • end stage renal failure or on chronic dialysis
• • non-intubated patients or intubated patients on non-controlled mechanical ventilation mode
• • absence of urethral catheter, presence of suprapubic catheter, continuous bladder irrigation
• • poor abdominal echogenicity