The Application of Point-of-care Ultrasonography in Differential Diagnosis of Shock in Emergency and Critical Care

NCT04478045 | Completed

• 1 other identifier: 202005121RINB
• Study Type: observational
• Target: 278
• Locations: 1 country
• Sites: 1

Brief Summary

For the emergency physicians and critical care specialists, how to quickly recognize shock from diverse clinical features and immediately treat shock patients to prevent progression to irreversible organ dysfunction from initially reversible shock condition are important issues and challenges. In recent years, ultrasonography had been extensively used in clinical practice recently, and well-trained medical staffs can quickly and easily apply ultrasound to evaluate, examine, diagnose, and even treat the patients. The clinical application of point-of-care ultrasound can help the first-line physicians rapidly evaluate and diagnose the main symptoms and signs of the patients at bedside, and further initially stabilize and appropriately treat the patients subsequently. The aim of this program is to prospectively collection of the findings of point-of-care ultrasonography in shock patients at emergency room in NTUH. The clinical manifestations, and followed up the examinations, treatments, and prognosis will also be collected. The effect of bedside ultrasound on differential diagnosis and treatment of shock patients will be analyzed. The results of the current study can provide the base for further clinical trials and set up of shock team.

Conditions

Shock; Ultrasonography; Differential Diagnosis; Emergencies; Critical Care

Keywords

Shock; Ultrasonography; Differential diagnosis; Emergency care; Critical care

Outcome Measures

Primary Outcomes (1)

• The correlation between application of bedside ultrasound and differential diagnosis in shock patients

  The effect of bedside ultrasound on differential diagnosis and treatment of shock patients.

  6 month

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

The adult, non-traumatic, non-DNR shock patients in the emergency room at NTUH are enrolled to our study. The point-of-care ultrasound in shock patients is performed by well-trained medical staffs.

You may qualify if:

• The shock patients in the emergency room at NTUH with one of the following conditions:
• A clinician evaluated patients were with insufficient or improper tissue
• Patients' systolic blood pressure \< 90mmHg or mean arterial pressure \< 65mmHg
• Patients' laboratory data showed lactic acid \> 2.2 mmol/L

You may not qualify if:

• Age \< 20 years
• Pregnancy
• Traumatic patients
• Patients with DNR(Do Not Resuscitate) status

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

National Taiwan University Hospital

Taipei, Taiwan

Location

MeSH Terms

Conditions

Shock; Emergencies

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Disease Attributes

Study Officials

• Min-Shan Tsai, PhD

  National Taiwan University Medical College and Hospital

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 15, 2020
• First Posted: July 20, 2020
• Study Start: August 1, 2020
• Primary Completion: July 31, 2022
• Study Completion: July 31, 2022
• Last Updated: August 18, 2022

Record last verified: 2021-08

Locations

TW (1)