Lung Ultrasound-guided Fluid Therapy in Pediatric Intensive Care Unit Patients

Instituto Mexicano del Seguro Social68 enrolled

Overview

A randomized clinical trial to evaluate the effect of using pulmonary ultrasound to guide fluid therapy on distinct variables.

In this randomized clinical trial, the investigators will evaluate the effect of guiding fluid therapy by pulmonary ultrasound on the following variables: Length of stay in the pediatric ICU Duration of mechanical ventilation Oxygenation index PaO2/FiO2

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

Conditions

Fluid Overload Pulmonary Edema Fluid Overload Pneumonia, Ventilator-Associated Fluid Overload Without Edema

Interventions

Pulmonary ultrasoundDIAGNOSTIC_TEST

Pulmonary ultrasound is a basic application of critical ultrasound, defined as a loop associating urgent diagnoses with immediate therapeutic decisions.

Eligibility

Sex: ALLMin age: 1 WeekMax age: 14 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All pediatric inpatient intensive care unit admissions * Signed Informed Consent Form Exclusion Criteria: * Cyanotic congenital heart disease * Not requiring mechanical ventilation

Locations (1)

Centenario Hospital Miguel Hidalgo

Aguascalientes, Aguascalientes, Mexico

Outcomes

Primary Outcomes

Length of stay

Number of days that the patient requires care in the ICU

Time frame: through study completion, an average of 14 days

Secondary Outcomes

Oxygenation Index

Measure of the fraction of inspired oxygen (FiO2) and its usage within the body.

Time frame: Daily through study completion, an average of 14 days

PaO2/FIO2

Ratio of arterial oxygen partial pressure to fractional inspired oxygen

Time frame: Daily through study completion, an average of 14 days

Duration of mechanical ventilation

Days that a patient remains under mechanical ventilation

Time frame: through study completion, an average of 14 days

Data from ClinicalTrials.gov

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