Deresuscitation of Fluid overloaded Patients on Mechanical Ventilation - Utilization of a non-invasive cardiopulmonary monitor to assess thoracic fluid content
Investigating a Protocol to Reduce Excess Fluid in Patients with Respiratory Failure
Brief description of study.
Purpose of this study is to test the feasibility of a protocol which helps eliminate excess fluid from patients which they have accumulated as a result of initial resuscitation for shock and is causing respiratory failure. This study will also use NICOM device which will use bioreactance to determine the amount of water content in the thoracic cavity. Using this device will help guide assessment of fluid status in these patients. However NICOM will not be used to diagnose fluid overload or determine when a patient is euvolemic as these assessments will be by clinical judgement.
Detailed description of study
Purpose of this study is to test the feasibility of a protocol which helps eliminate excess fluid from patients which they have accumulated as a result of initial resuscitation for shock and is causing respiratory failure. This study will also use NICOM device which will use bioreactance to determine the amount of water content in the thoracic cavity. Using this device will help guide assessment of fluid status in these patients. However NICOM will not be used to diagnose fluid overload or determine when a patient is euvolemic as these assessments will be by clinical judgement.
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: septic shock,hypovolemic shock,hemorrhagic shock
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Age: 100 years or below
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Gender: All
This study investigates a protocol designed to remove extra fluid from patients who have gathered it due to initial treatment for shock, which leads to breathing problems. It uses a device called NICOM, which measures water content in the chest area to help assess fluid levels in these patients.
The study involves using the NICOM device to guide doctors in understanding a patient's fluid status. The device uses a method called bioreactance to measure water in the body. However, the NICOM device will not be used to diagnose fluid overload or to decide when a patient has normal fluid levels; these decisions will be made by doctors.
- Who can participate: Participants must be adults experiencing respiratory failure due to fluid accumulation following treatment for shock. Key eligibility factors include stable vital signs and no contraindications for fluid assessment.
- Study details: Participants will have their fluid levels assessed using the NICOM device, which measures water content in the chest using bioreactance. The NICOM device is not used for diagnosing fluid overload or determining normal fluid levels, which will be decided by clinical judgment.
Interested in the study?
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