Use of LiDCOplus in fluid resuscitation decision-making

  • Research type

    Research Study

  • Full title

    Does the use of LiDCOplus alter decision-making in fluid prescription during resuscitation in the intensive care unit.

  • IRAS ID

    196092

  • Contact name

    James Patterson

  • Contact email

    jpatterson3@nhs.net

  • Sponsor organisation

    NHS GGC Clinical Research and Development Central Office

  • Duration of Study in the UK

    0 years, 4 months, days

  • Research summary

    Unwell patients in the intensive care unit (ICU) often need supplementary fluids to be given into the bloodstream through a drip in a vein (venous cannula), however too much fluid can be harmful. It can sometimes be difficult to tell whether or not a patient will benefit from extra fluids so they are given a "fluid challenge", whereby a small volume of fluid is given quickly into the cannula and the change in their status is noted. If the patient’s condition improves, this suggests that the patient is “fluid responsive” and needs more fluid.
    A LiDCOplus cardiac output monitor is a device used in the ICU to estimate the amount of blood ejected from the heart on each heartbeat using pressure readings obtained from a tube placed in one of the patient's arteries (arterial line).
    We aim to determine whether or not the use of this device called makes a difference to the judgement of “fluid responsiveness” when the patient is given a fluid challenge when compared to simply using measurements of pulse and blood pressure and assessing the circulation in the patient's limbs. This will allow us to determine whether or not the LiDCOplus cardiac output monitor alters the decisions made by doctors and nurses about how much fluid to give their patients and hence if it is of any benefit.

  • REC name

    West Midlands - Edgbaston Research Ethics Committee

  • REC reference

    16/WM/0230

  • Date of REC Opinion

    20 May 2016

  • REC opinion

    Favourable Opinion