About this trial
Point of care ultrasound (POCUS) of the inferior vena cava (IVC) is a tool for assessing volume status through ultrasonography. Using a point of care ultrasound device, the physician can perform an ultrasound of the vena cava at the bedside. Previous research has demonstrated a correlation between right atrial pressure and the vena cava's diameter. Nonetheless, the majority of research has been conducted in critically ill populations to predict fluid responsiveness in patients with more complex hemodynamics. There is limited data available on the value of IVC ultrasound in the sub-acute setting on the regular ward for clinical decision-making regarding whether a patient is hypovolemic or hypervolemic. This study's objective is to assess the diagnostic utility of point-of-care ultrasonography of the IVC, by using a standardized methodology, performed by qualified ward physicians in a conventional nursing ward.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient is over 18 years old.
Patient has a clinical indication for making a IVC ultrasound.
Patient is admitted until at least 24 hours after the first ultrasound.
Disqualifiers
Patients who are using vasopressors at the time of the ultrasound.
Patients who require invasive or non-invasive (optiflow, CPAP, BPAP) ventilation.
Trial population
Adult patients admitted to the general ward with a clinical indication for performing VCI ultrasound.
Trial design
Case-only
Prospective
Treatments tested in this trial
POCUS performed on clinical indication
Diagnostic testPOCUS performed on clinical indication
Treatment groups
Trial outcomes
Primary outcomes
Volume status
Depleted, overloaded, or normal volume status at baseline, determined 48 hours after performing the ultrasound.
Sponsors and contacts
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