Clinical trial NCT03484052: Place of Jugular Ultrasound in the Evaluation of the Volemia by a Clinician Doctor in Routine Care
Official title: Place of Jugular Ultrasound in the Evaluation of the Volemia by a Clinician Doctor in Routine Care (JUVIA)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Transfusion
Lead sponsor: Rennes University Hospital
Sponsor class: OTHER
First posted: 2018-03-30
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: Interventional study with minimal risks and constraints, prospective, monocentric.

Detailed description: To appreciate the volemia of a patient is a frequent problem in hospital in various situations: renal insufficiency, dyspnea, dysnatremia, etc. The aging of the population, the chronicity of pathologies, overweight among other causes can make it difficult to assess the volume of the disease by the clinic alone. The consequences of a poor evaluation are delayed management and possible iatrogeny.

New discrimination markers have emerged to help the clinician such as "brain natriuretic peptide (BNP)" in dyspnea, and especially transthoracic echocardiography (TTE) assessing filling pressures with a high potency. discrimination. In current practice the TTE has unequal accessibility, and requires trained practitioners. It is difficult to have an TTE performed for all patients where the question arises.

Just as an assessment of the initial volemia is often necessary, there are few objective monitoring criteria. One can quote the variation of the weight or the evolution of certain biological parameters but none is completely specific.

A new marker has been described for a few years: jugular ultrasound. Better accessibility (requires only a probe of 7-9Hz, possibly 5Hz), it can indeed be performed by any practitioner in less than a minute. The jugular distension is a reflection of cardiac pre-load and can be correctly estimated by ultrasound. It has been shown that cardiac decompensated patients have dilated jugular veins compared to a reference population. A low cohort also demonstrated the presence of jugular ultrasound distension in the absence of clinical distension.

In a US study, 119 patients admitted to the emergency department for dyspnea had a sensitivity of 99% for a specificity of 59% for trans-jugular ultrasound in cardiogenic edema.

However, many applications remain to be explored, and the repeated use of jugular ultrasound in the same patient has never been studied. The accessibility of the measure could make it an excellent monitoring tool.

As a clinical situation, the investigators chose a well standardized and studied situation such as blood transfusion that can bridge the preload measured by invasive measures and measured by jugular ultrasound. This situation is complicated in patients in 1 to 5.7% of the situations of secondary pulmonary overload.

Eligibility criteria: Inclusion Criteria:

* Major patient;
* Requiring a transfusion of 2 or more red blood cells in a routine care situation (transfusion programmed in the context of a day hospital or a traditional hospitalization, except in cases of massive bleeding);
* Affiliate or beneficiary of a social protection scheme;
* Having given his written consent.

Exclusion Criteria:

* Patient with clinical or biological criteria for admission to intensive care as defined in the 1999 US ICU Practice Guidelines;
* Major persons subject to legal protection (legal safeguards, guardianship, tutorship), persons deprived of their liberty;
* Pregnant or lactating woman

Primary outcomes:
measure: Evaluation of the volemia
timeFrame: Baseline
Secondary outcomes:
measure: Transfusion tolerance
timeFrame: Day 3
measure: Interobserver variability
timeFrame: Baseline
measure: Interobserver variability
timeFrame: Baseline
measure: Semi-quantitative measurement variation in the height of the zone where the right jugular vein colludes
timeFrame: Baseline
Other outcomes:
Locations:
city: Rennes
country: France
facility: Rennes University Hospital
state: Britain
Study officials:
affiliation: Rennes University Hospital
name: JEGO Patrick
role: PRINCIPAL_INVESTIGATOR
References:
citation: Henriot B, Scanff A, Sebillot M, Lautredoux F, Jego P. Jugular vein ultrasound for estimating changes in blood volume: a new tool for all physicians. Intern Emerg Med. 2021 Oct;16(7):2005-2007. doi: 10.1007/s11739-021-02792-y. Epub 2021 Jul 1. No abstract available.