Sohag university Hospital
Sohag, Egypt
Location contact
Magdy M Amin, professor
CONTACT
Not Yet Recruiting
NCT Number: NCT06672783
Impact of Focused Echocardiography in Management of Patients in Pediatric Intensive Care Units
Echocardiography is currently considered a key tool for the hemodynamic assessment in Intensive Care Units (ICU), able to identify causes of hemodynamic instability and to quickly guide therapy . Some of its advantages are being a noninvasive method, risk-free, capable of being performed serially and in real time, and analyzed along with clinical data by intensivists. Several studies have demonstrated the positive effect of the use of echocardiography in the management of critically ill patients, changing their treatment in 30%-60% of cases after the test is performed . Echocardiography has been used as an adjunct in predicting patient outcomes. Relevant and easily obtain-able information about hemodynamics is required for effective therapeutic manipulation of circulation in critically ill children ,Hemodynamic monitoring of critically ill infants and children noninvasively using echocardiography has been evaluated comprehensively Echocardiography is an influential procedure that allows direct visualization of the heart, guiding patients' hemodynamic condition at the bedside. This hemodynamic estimate informs physicians to guide therapeutic approaches like volume resuscitation, initiation, discontinuation, alteration of vasopressor therapy and referral for specialist rapidly if cardiac or surgical attempt is necessary Management of critically ill pediatric patients is a demanding task that requires proper prioritization and judicious time management. Multi-system affection with overlap of symptoms often complicates the clinical picture. Hemodynamic assessment has recently taken top priority in the management of critically ill patients, Echocardiography is an integral component of the clinical service in the pediatric intensive care unit (PICU). It is considered a handy bedside imaging modality, and an accurate diagnostic tool that explores a crucial body system. Indications of bedside echocardiography in TINEC (training in intensive care and neonatal echocardiography) include assessing cardiac function, pulmonary hypertension, severe pericardial effusion, and tamponade. Consequently, it serves as a guide for interventions in critically ill pediatric patients and management .
Not Yet Recruiting
Trial opening soon.
Get NotifiedKey information
Conditions
Age range
1 month–18 year
Sex eligibility
All sexes
Study type
Interventional
Phase
Not applicable
Primary location
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- All critically ill patients admitted to pediatric intensive care units aged from 1 month Up to 18 years old.
Exclusion criteria
- non crtical ill patients
Treatment and study plan
echocardiogrphy
ProcedureTransthoracic echocardiography
- Parameters assessed:
- Right ventricular dimensions and function
- Pulmonary artery pressure estimation
- Valvular function assessment
- Left ventricular dimensions (end-diastolic and end-systolic)o Left ventricular function (ejection fraction, fractional shortening) o
Primary outcomes
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Impact of focused echocardiography in management of patients in pediatric intensive care units
Time frame: Through study completion , an average of one year
functional echocardiography (ejection fraction using M mode echocardiography .
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Impact of focused echocardiography in management of patients in pediatric intensive care units
Time frame: Through study completion , an average of one year
Functional echocardiography (fraction shortening by M mode echocardiography .
-
Impact of focused echocardiography in management of patients in pediatric intensive care units
Time frame: Through study completion , an average of one year
Assessment of pulmonary hypertension using peak tricuspid regurgitation velocity by color Doppler .
-
Impact of focused echocardiography in management of patients in pediatric intensive care units
Time frame: Through study completion , an average of one year
assessment of myocardial performance index.
Study contacts
Contact information is provided by the study sponsor or research team.
Sponsors and collaborators
Lead sponsor
Sohag University
Other
Registry information
Important dates
- Study start
- 2024
- Primary completion
- 2025
- Study completion
- 2025
- First posted
- Nov 4, 2024
- Registry last updated
- Nov 4, 2024
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.