Status:

UNKNOWN

VExUS-guided Fluid Management in Patients With Acute Kidney Injury in the Intensive Care Unit

Lead Sponsor:

Hospital de Clinicas de Porto Alegre

Conditions:

Acute Kidney Injury

Renal Insufficiency, Acute

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

A quasi experimental study that aims to verify whether the incorporation of VExUS in patients with AKI in the Intensive Care Unit (ICU) may prompt tailored interventions to increases the number of day...

Detailed Description

Fluid overload is associated with organ dysfunction, such as Acute Kidney Injury (AKI), and increased mortality. It remains unclear if fluid overload is merely an epiphenomenon in critically ill patie...

Eligibility Criteria

Inclusion

  • Non-elective ICU admission
  • Severe acute kidney injury (AKI) defined either: A ≥ 2-fold increase in serum creatinine from a known pre-morbid baseline or during the current hospitalization OR Urine output \< 6.0 mL/kg over the preceding 12 hours

Exclusion

  • Life-threatening indication of RRT (defined as intractable hyperkalaemia, acidosis, uraemic symptoms) at Day 0
  • RRT before recruitment
  • Use of Extracorporeal membrane oxygenation (ECMO)
  • Hepatic cirrhosis or other condition with portal hypertension
  • Lack of commitment to provide RRT as part of limitation of ongoing life support
  • Known pre-hospitalization advanced chronic kidney disease, defined by an estimated glomerular filtration rate \< 30 mL/min/1.73 m2 or chronic RRT
  • Refusal to sign the informed consent form

Key Trial Info

Start Date :

January 7 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2022

Estimated Enrollment :

55 Patients enrolled

Trial Details

Trial ID

NCT05240833

Start Date

January 7 2022

End Date

December 31 2022

Last Update

February 15 2022

Active Locations (1)

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1

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil, 90035-903