Inferior Vena Cava Collapsibility Index Guide for Preoperative Fluid Therapy in Preeclampsia
Ultrasound Assessment of Inferior Vena Cava Collapsibility Index (IVCCI) to Guide Pre-operative Fluid Management in Critically Ill Pre-eclamptic Patients in Comparison with the Standard Fluid Management
Ain Shams University
90 participants
Aug 15, 2024
INTERVENTIONAL
Conditions
Summary
The routine assessment of fluid status depends on clinical evaluation and invasive monitoring. The clinical assessment lacks objectivity and the invasive monitoring carries risks. Point of care ultrasound (POCUS) parameters can be useful as early markers of fluid status and were used in safe fluid assessment in term pregnancy and preeclampsia.
Eligibility
Inclusion Criteria1
- Critically ill pre-eclamptic patients for cesarean section
Exclusion Criteria6
- Patient refusal
- severe cardiovascular disease ( ejection fraction \< 40 mmHg ), tricuspid regurge.
- contraindication for spinal anesthesia.
- failure to perform spinal anesthesia.
- severe hepatic.
- renal dysfunction
Interventions
300 ml by dripping within 30 minutes, the fluid will be repeated by half the amount if needed to reach equal or less than 50% collapsibility. the fluid that will be used is sterile Ringer's solution which is an isotonic intravenous solution with pH 5.0 - 7.5 and an osmolality of 308mOsmol/kg.
Locations(1)
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NCT06539026