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The objective of this study is to assess how fluid resuscitation, in the context of fluid responsiveness, affects the incidence and progression of systemic venous congestion in critically ill cardiac patients. Additionally, the study aims to evaluate the impact on clinical outcomes, with a particular focus on acute kidney dysfunction. This assessment will utilize the VExUS score in conjunction with comprehensive bedside echocardiographic evaluations.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VExUS & Cardiac Ultrasound | Diagnostic Test | The VExUS system provides a semi-quantitative assessment of systemic venous congestion by integrating ultrasound evaluations of the inferior vena cava diameter, hepatic vein flow, portal pulsatility, and renal venous flow, offering a practical and comprehensive bedside tool |
| Measure | Description | Time Frame |
|---|---|---|
| Venous congestion | Venous congestion as assessed by the VExUS score at ICU admission, and on each of the first seven postoperative days. | 7 days |
| Acute kidney injury | Acute kidney injury (AKI), defined through the KDIGO criteria, within seven and twenty-eight days of ICU admission. | Twenty-eight days |
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Inclusion Criteria:
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Cardiac critically ill patients (mainly post cardiac surgery)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pedro D Wendel Garcia, Dr. med. | Contact | +4369981577596 | pedro.wendelgarcia@meduniwien.ac.at |
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Data is available upon reasonable request and after the approval of the Steering Committee members.
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| ID | Term |
|---|---|
| D006940 | Hyperemia |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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Blood Samples