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Fluid-responsiveness Assessment Simplified by Electric Cardiometry in Children

Recruitingn/aAges 0 Days - 8 YearsAllUniversity Hospital, Bordeaux
NCT07522580 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

In this study of diagnostic accuracy, the investigators aim to validate a faster, simpler, and noninvasive test of fluid-responsiveness in critically ill children. This test is based on an assessment of the hemodynamic effects of a standardized abdominal compression, using electrical cardiometry. This would help physicians to identify more easily which patient could benefit from a volume expansion, thus avoiding a potentially useless or even dangerous fluid expansion that could lead to fluid overload. To this end, the diagnostic accuracy of electrical cardiometry-based stroke volume (SV) variation induced by a standardized abdominal compression to predict fluid responsiveness (define as a 15% increase in echocardiographically measured SV after volume expansion) will be measured.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age less than or equal to 8 years old * Hospitalization in a pediatric intensive care unit * Prescription by the attending physician of a fluid expansion of 10ml/kg * Use of a non-invasive cardiac output monitoring device (electrical cardiometry) as part of routine care Exclusion Criteria: * Patient less than 37 weeks' corrected gestational age * Hemodynamic instability making the delay necessary for any test dangerous * Supine position contraindicated or deleterious * Impairment of echocardiographic acoustic window or restless patient making ultrasonography impossible * Opposition to participate expressed by the patient or by a parent or legal guardian * Intra-abdominal hypertension, painful abdominal palpation or abdominal surgery in the last 15 days
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What it tests

  • validation a test of fluid-responsiveness in critically ill children
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Where

4 sites
Hôpital Marie Lannelongue
Le Plessis-Robinson, France
Hôpital Arnaud de Villeneuve - CHU de Montpellier
Montpellier, France
Hôpital mère-enfant - CHU de Nantes
Nantes, France
Hôpital Cardiologique Haut Lévêque - CHU de Bordeaux
Pessac, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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