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IRCT20190720044284N1 IRCT 2021-01-12 Kerman University of Medical Sciences comparison of plus pressuer variation and plus oximetry oscillation in the prediction of the response of fluid therapy in traumatic patients connectedto ventilators admitted in intensive care uint Comparison of plus pressuer variation and plus oximetry oscillation in the prediction of the response of fluid therapy in traumatic patients connectedto ventilators admitted in intensive care uint 2021-02-19 anticipated 40 Complete https://irct.ir/trial/41370 interventional Randomization: Not randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Single, Purpose: Diagnostic, Blinding description: Patients or their patient's companions are not aware of other patients and interventions performed. 3 comparison of plus pressuer variation and variation in the amplitud of the plus oximetry plethysmographic waveform( ◇POP) in the prediction of the response of fluid therapy in traumatic patients connected to ventilators admitted in intensive care uint. Intervention 1: . Intervention 2: Intervention group: For all trauma patients admitted to the intensive care unit who are under mechanical ventilation, before the start of fluid therapy (according to the protocol) pulse pressure fluctuations according to the above formula and pulse oximetry and arterial pressure of the patient MAP, SBP, PR, RR will be measured. Treatment is started for the patient (250 cc of crystalloid serum) then after 45 minutes the patient's pulse pressure and pulse oximetry fluctuations will be measured again and patients according to the response to fluid therapy into two groups Responder (increase in MAP more than 15% Non responder is divided and ppv changes are measured based on atraline waves and pulse oximetry. The patient's condition will also be recorded in response to fluid therapy. No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no more information
public Mehdi Ahmadinejad
Shahid Bahonar Hospital, Qarni St. ,Kerman
Kerman Iran (Islamic Republic of) 7613747181 +98 34 3223 5011 mahmadinejad@kmu.ir Kerman University of Medical Sciences scientific Yousef Arefi Maskoni
Shahid Bahonar Hospital, Qarni St. ,Kerman
Kerman Iran (Islamic Republic of) 7613747181 +98 34 3223 5011 Yosef.am@gmail.com Kerman University of Medical Sciences Iran (Islamic Republic of) Patients hospitalized in intensive care units Ages 18 to 80 years Breathing control with a tidal volume of 8 to 10 cc / kg Lack of advanced heart and respiratory disease 18 years 80 years Both Dissatisfaction with patient companions Spontaneous breathing Under 18 and over 80 years Being pregnant Diagnosis Intervention group: For all trauma patients admitted to the intensive care unit who are under mechanical ventilation, before the start of fluid therapy (according to the protocol) pulse pressure fluctuations according to the above formula and pulse oximetry and arterial pressure of the patient MAP, SBP, PR, RR will be measured. Treatment is started for the patient (250 cc of crystalloid serum) then after 45 minutes the patient's pulse pressure and pulse oximetry fluctuations will be measured again and patients according to the response to fluid therapy into two groups Responder (increase in MAP more than 15% Non responder is divided and ppv changes are measured based on atraline waves and pulse oximetry. The patient's condition will also be recorded in response to fluid therapy. Pulse pressure variation. Timepoint: At the beginning of the intervention and 45 minutes after the intervention. Method of measurement: The difference between the maximum pulse pressure and the minimum pulse pressure is divided by half the sum of the maximum pulse pressure and the minimum pulse pressure and the result will be multiplied by 100. (Pulse pressure is the difference between systolic and diastolic blood pressure from one heartbeat to the next. Pulse oximetry will be recorded on the arterial pressure monitoring chart. Kerman University of Medical Sciences Approved 2020-11-23 Ethics committe of Kerman University of Medical Sciences Kerman, Qarni St. - Shahid Bahonar Hospital Kerman Kerman Iran (Islamic Republic of)