Fluid-responsiveness Assessment Simplified by Electric Cardiometry in Children
University Hospital, Bordeaux
42 participants
Jul 22, 2025
OBSERVATIONAL
Conditions
Summary
In this study of diagnostic accuracy, the investigators aim to validate a faster, simpler, and noninvasive test of fluid-responsiveness in critically ill children. This test is based on an assessment of the hemodynamic effects of a standardized abdominal compression, using electrical cardiometry. This would help physicians to identify more easily which patient could benefit from a volume expansion, thus avoiding a potentially useless or even dangerous fluid expansion that could lead to fluid overload. To this end, the diagnostic accuracy of electrical cardiometry-based stroke volume (SV) variation induced by a standardized abdominal compression to predict fluid responsiveness (define as a 15% increase in echocardiographically measured SV after volume expansion) will be measured.
Eligibility
Inclusion Criteria4
- Age less than or equal to 8 years old
- Hospitalization in a pediatric intensive care unit
- Prescription by the attending physician of a fluid expansion of 10ml/kg
- Use of a non-invasive cardiac output monitoring device (electrical cardiometry) as part of routine care
Exclusion Criteria6
- Patient less than 37 weeks' corrected gestational age
- Hemodynamic instability making the delay necessary for any test dangerous
- Supine position contraindicated or deleterious
- Impairment of echocardiographic acoustic window or restless patient making ultrasonography impossible
- Opposition to participate expressed by the patient or by a parent or legal guardian
- Intra-abdominal hypertension, painful abdominal palpation or abdominal surgery in the last 15 days
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Interventions
This test is based on an assessment of the hemodynamic effects of a standardized abdominal compression, using electrical cardiometry.
Locations(4)
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NCT07522580