The Impact of Fellow-performed Cardiopulmonary Ultrasound Exams

Completed

Conditions studied: Shock, Respiratory Failure

In brief

Shock and respiratory failure are common reasons for admission to the intensive care unit (ICU) at our institution. The various causes of acute shock and respiratory failure are traditionally assessed with the use of history, physical examination, chest x-ray, EKG and laboratory studies. Unfortunately, much of this clinical information is either insensitive or non-specific. 1 Critical care ultrasound (CCUS) is a rapid and non-invasive tool, which has been shown to be useful in the intensive care unit to assist in the diagnosis and management of patients in shock or respiratory failure.2 The investigators hypothesize that the trained fellow's interpretation of critical care ultrasound images will be accurate when compared to experts and that ultrasounds will change diagnosis and management of the patient in shock and respiratory failure.

Key facts

Study ID

NCT02186197

Run by

Beth Israel Medical Center

People needed

112

Starts

2014-07-01

Expected to finish

2015-07-01

Last updated by the study team

2015-07-15

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Newly admitted to the medical ICU.
• Clinical diagnosis of shock including systolic blood pressure less than 90 mmhg, patients requiring vasopressors or indication of organ hypoperfusion.
• Clinical diagnosis of respiratory failure including need for invasive or non-invasive mechanical ventilation, needing supplemental oxygen more than 50% face mask, clinical impression of respiratory failure with respiratory rate greater than 25.

You may not qualify if…

• Patients not in shock or respiratory failure based on the above criteria.
• Patients in shock but with obvious cause of bleeding.

Where it is running

• Mount Sinai Beth Israel Medical Center — New York, New York, United States

Full record on ClinicalTrials.gov

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