About this trial
A single-center prospective observational study will be conducted with the aim of determining the prevalence of venous congestion during ARDS using venous Doppler and the VExUS score.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients ≥18 years old
Moderate to severe ARDS according to the Berlin definition
Requiring catecholamine support
Undergoing invasive mechanical ventilation for less than 48 hours
Disqualifiers
Patients presenting with acute kidney injury KDIGO III requiring renal replacement therapy before the initial ultrasound evaluation
Requirement for veno-venous or veno-arterial ECMO circulatory support before inclusion
Patients with end-stage chronic kidney disease, on dialysis, and/or kidney transplant recipients
History of Child C cirrhosis and/or liver transplantation and/or portal hypertension
Trial population
The study concerns adult patients hospitalized in intensive care for moderate to severe ARDS according to the Berlin definition, and requiring hemodynamic support with catecholamineEKG
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Proportion of VExUS score ≥ 1 within 48 hours of invasive mechanical ventilation.
Quantification of the VExUS score from the measurement of the inferior vena cava size, an assessment of suprahepatic venous flow, portal venous flow and intra-renal venous.
Secondary outcomes
Occurrence of the composite endpoint of major kidney events at Day 30 (MAKE-30).
defined as death, dependence on dialysis, or persistence of a creatinine elevation ≥ 200% of baseline creatinine.
Sponsors and contacts
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