RECRUITINGINTERVENTIONAL

Inferior Vena Cava Collapsibility Index Guide for Preoperative Fluid Therapy in Preeclampsia

Ultrasound Assessment of Inferior Vena Cava Collapsibility Index (IVCCI) to Guide Pre-operative Fluid Management in Critically Ill Pre-eclamptic Patients in Comparison with the Standard Fluid Management

About This Trial

The routine assessment of fluid status depends on clinical evaluation and invasive monitoring. The clinical assessment lacks objectivity and the invasive monitoring carries risks. Point of care ultrasound (POCUS) parameters can be useful as early markers of fluid status and were used in safe fluid assessment in term pregnancy and preeclampsia.

Who May Be Eligible (Plain English)

Who May Qualify: - Critically ill pre-eclamptic patients for cesarean section Who Should NOT Join This Trial: - Patient refusal - severe cardiovascular disease ( ejection fraction \< 40 mmHg ), tricuspid regurge. - contraindication for spinal anesthesia. - failure to perform spinal anesthesia. - severe hepatic. - renal dysfunction Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language

Inclusion Criteria: * Critically ill pre-eclamptic patients for cesarean section Exclusion Criteria: * Patient refusal * severe cardiovascular disease ( ejection fraction \< 40 mmHg ), tricuspid regurge. * contraindication for spinal anesthesia. * failure to perform spinal anesthesia. * severe hepatic. * renal dysfunction

Treatments Being Tested

OTHER

fluid therapy, 300 ml of crystalloid Ringer's solution.

300 ml by dripping within 30 minutes, the fluid will be repeated by half the amount if needed to reach equal or less than 50% collapsibility. the fluid that will be used is sterile Ringer's solution which is an isotonic intravenous solution with pH 5.0 - 7.5 and an osmolality of 308mOsmol/kg.

Locations (1)

Ain shams university

Cairo, Egypt, Egypt