Ultrasound-Guided fluid removal could shorten time on ventilators
NCT ID NCT05188092
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether using lung ultrasound to guide removal of extra fluid helps patients on breathing machines in the ICU breathe on their own sooner. About 1,000 adults who need a ventilator for at least another day will be randomly assigned to have fluid removal guided by ultrasound or by usual care. The goal is to see if ultrasound guidance leads to more days alive and off the ventilator within 28 days.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,000 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2021
- Expected to finish
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Jun 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Admission to one of the participating ICUs; * Invasively ventilated for less than 24 hours at randomization; * Expected to be under invasive ventilation for longer than 24 hours after randomization. Exclusion Criteria: * Age below 18 years old; * Suspected or confirmed pregnancy; * Participation in other interventional trials with similar endpoints; * Use of long term home mechanical ventilation; * Neurological condition that can prolong duration of mechanical ventilation (i.e.Guillain-Barré syndrome, high spinal cord lesion, amyotrophic lateral sclerosis, multiple sclerosis, or myasthenia gravis); * Conditions in which LUS cannot be performed or correctly interpreted (i.e. chest wall abnormalities, morbid obesity, and pre-existing interstitial lung disease); * Conditions in which targeting a negative fluid balance is discouraged (i.e. subarachnoid bleeding, severe rhabdomyolysis (CK \> 20.000); * Previous participation in this RCT; * Patients transferred from another center and invasively ventilated for longer than 24 hours.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
3 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Amsterdam UMC, location AMC
RECRUITINGAmsterdam, North Holland, 1105AZ, Netherlands
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Amsterdam UMC, location VUMC
RECRUITINGAmsterdam, North Holland, 1081 HV, Netherlands
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Rijnstate
RECRUITINGArnhem, Gelderland, 6800 TA, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Could less food help critically ill patients recover faster?
- Can a diuretic plan clear excess fluid in critically ill patients?