NCT02974790: ECHOBEDSIDE

Diagnostic Performance of Echocardiography Performed by Emergency Physicians After a Basic Training

Terminated Last updated 29 March 2018

What this trial tests

trial testing Echocardiography in Circulatory Failure in 89 participants. Terminated before completion.

Timeline

2 January 2017

Primary endpoint
2 January 2018

2 March 2018

Quick facts

Lead sponsor	University Hospital, Limoges
Status	Terminated
Study type	OBSERVATIONAL
Enrollment	89
Start date	2 January 2017
Primary completion	2 January 2018
Estimated completion	2 March 2018
Sites	1 location across France

Drugs / interventions tested

• Echocardiography

Conditions studied

• Circulatory Failure — all drugs for Circulatory Failure →
• Echocardiography — all drugs for Echocardiography →

Sponsor

University Hospital, Limoges

Who can join

18 and older, any sex, with Circulatory Failure or Echocardiography. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

After a basic training to echocardiography, emergency physicians will have to answer simple clinical questions about circulatory failure mechanisms. The objective of the study is to assess the agreement between these answers and those of the expert physician in patients admitted in the emergency department with a circulatory failure due to sepsis or not. Emergency physicians will volunteer to take part in a basic training on echocardiography. The training will include 4 hours of theory, 2 hours of interactive clinical cases and 6 hours of tutored practice at patients' bedside (10 to 15 examinations). The objective of the practice sessions will be to learn the technical grounds of transthoracic echocardiography (TTE), the different views and to identify the anatomical structures. The second part of the study will start after the training. Each eligible patient will be successively assessed by two investigators: one emergency physician recently trained and the expert physician. The echocardiography will be performed as soon as possible in the emergency department before or after the initiation of treatment without delaying it. The order of hemodynamic assessments will be random depending on the availability of the investigators; both assessments will however be performed within 30 minutes. Each investigator will independently read the echocardiography in real time at patients' bedside. They will then answer a limited list of standardized questions using two-choice answers or predefined choices. Finally investigators will choose a therapeutic proposition among a predefined list based on the answers. Only the results of the echocardiography performed by the expert physician will be used in patient management.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

1. Comparative Early Hemodynamic Profiles in Patients Presenting to the Emergency Department with Septic and Nonseptic Acute Circulatory Failure Using Focused Echocardiography.
   Lafon T, Appert A, Hadj M, Bigrat V, et al · · 2020 · cited 15× · PMID 31568225 · DOI 10.1097/shk.0000000000001449
2. Proceedings of Réanimation 2020, the French Intensive Care Society International Congress.
   · 2020 · cited 2× · PMID 32048060 · DOI 10.1186/s13613-020-0623-7