Role of Echocardiography and Ultrasound Indices in Resuscitation of Septic Shock Patients
Recruiting now
Conditions studied: Septic Shock, Fluid Resuscitation
In brief
Fluid replacement is considered the cornerstone of hemodynamic management in critically ill patients especially in patients with septic shock. However, only about 50% of critically ill hemodynamically unstable patients are responsive to fluids. Consequently, the resuscitation of critically ill patients requires an accurate assessment of the patients' intravascular volume status and their volume responsiveness. In this study, we will compare the efficacy of carotid artery flow to echo left ventricular end diastolic volume as a predictive value for fluid resuscitation in septic shock patients.
Key facts
- Study ID
- NCT07550400
- Run by
- Ain Shams University
- People needed
- 40
- Starts
- 2026-05-03
- Expected to finish
- 2026-11-12
- Last updated by the study team
- 2026-04-24
Who can join
Age: 18 and older, up to 50. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- ▪ Age:18-50 years old
- Sex: both males \&females.
- Patients diagnosed with septic shock according to SOFA score more than or equal 1
- Presence of at least one sign of acute circulatory failure from:
- Low blood pressure (mean arterial pressure <65 mmHg and / or systolic <90 mmHg).
- Tachycardia> 120 bpm without other obvious cause of circulatory failure.
- Oliguria <1 ml / kg during the last hour suggestive of circulatory failure.
- Blood hyperlactatemia > 2mmol / l without other obvious cause a systemic circulatory failure.
- Another sign justifying, for example vascular increase capillary refill time more than 2 seconds.
You may not qualify if…
- ▪ Known significant valvular heart disease (sever aortic insufficiency or stenosis)
- Known carotid artery stenosis >50% or previous carotid surgery
- Clear contraindication to the carotid artery Doppler such as wound or infection or complete or partial occlusion of the carotid artery.
- Arrhythmias affect stroke volume assessment (atrial fibrillation, frequent PVCs)
- Dilated cardiomyopathy.
- Poor transthoracic echocardiographic window
- Patient refusal
Where it is running
- Faculty of medicine, Ain Shams University — Cairo, Egypt (enrolling)
Full record on ClinicalTrials.gov
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