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CompletedNCT03951519WATERUpdated Feb 3, 2026

Effect of Oral Water on the Quality of Volume Expansion in Resuscitation Patients

An interventional study of oral administration of water and administration of saline solution in Intubated-ventilated Patients in the Intensive Care Unit, sponsored by Centre Hospitalier Universitaire Dijon. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-03.

Sponsored by Centre Hospitalier Universitaire Dijon · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

In ICU and operating theatre, fluid expansion is the main hemodynamic therapeutic. The objective of fluid expansion is to increase cardiac output thus arterial oxygen delivery to match patient's oxygen consumption. To date, it has been shown that all fluid expansion solutions may have side effects (hydro-electrolytic disorder, renal failure, hydro-sodium overload, etc.) that may limit their use.

Human digestive system physiologically ensures the absorption of oral water and hydration of the human body. Water is quickly absorbed by the digestive tract with a peak between 15 and 20 minutes. It has demonstrated that oral water remains the best hydration solution that have an effect on plasma volume expansion and cardiovascular system during exercise. While the cardiovascular effect of fluid expansion by saline serum is well known (venous return, preload and cardiac output), that of oral water vary in the literature depending on the physiological state of the patient and the clinical state. Oral water can change cardiac output and blood pressure through various physiological effects: increased blood volume, recruitment of splanchnic blood volume, and peripheral vasoconstriction. Usually, ICU patients have feeding through nasogastric tube.

To date, no study has studied the effect of a given amount of enteral cardiovascular system in ICU patients. The objective of this study is to describe the effect of oral water administration on the cardiovascular system of patients during the optimization and/or hemodynamic stabilization phase. The comparison of groups (water/ physiological saline) would allow us: (1) to describe the cardiovascular effects of water in the resuscitation patient, (2) to compare these cardiovascular effects with those of saline solution, (3) to have the data to design further study.

02

Conditions studied

  • Intubated-ventilated Patients in the Intensive Care Unit
03

In context

Lead sponsor

Centre Hospitalier Universitaire Dijon is the lead sponsor of 495 studies on the registry; 105 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Close family member has given written consent for patient included in emergency
  • Intubated-ventilated patient in controlled volume mode
  • Normothermal patient (36.5-37.5°C)
  • Adult patient in intensive care for whom the attending physician has decided to give fluid expansion because of acute circulatory failure (systolic blood pressure \< 90 mmHg, and/or mean blood pressure \< 65 mmHg, and/or the need for infusion of vasopressor amines, and/or skin mottles, and/or diuresis \< 0.5 mL/kg/h for a duration of ≥ 2 hours, and/or arterial lactate level > 2 mmol/L) (21),
  • Patient with a variation OF SV over 10% with PLR,
  • Echogenic patient,
  • Patient with a regular sinus rhythm,
  • Patient with a nasogastric tube.

Exclusion criteria

Exclusion Criteria:

  • Person subject to a legal protection measure (curatorship, guardianship)
  • Person subject to a measure to safeguard justice
  • Condition contraindicating the use of the oral route,
  • Patient not affiliated or not covered by the national health system,
  • Pregnant, parturient or breastfeeding woman,
  • Hemodynamically unstable patient (variation of more than 10% in blood pressure),
  • Arrhythmia-like rhythm disorder by atrial fibrillation,
  • Modification of therapies (sedation, catecholamines) during the study period,
  • Modification of the ventilatory parameters.
  • Heart failure
  • Oedemato-ascitic insufficiency of cirrhosis
  • Changes in drug doses
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Water

    Other: oral administration of water

  • Active comparator
    Physiological serum

    Other: administration of saline solution

Interventions

  • Otheroral administration of water

    Volume expansion via 500 mL of water administered by the patient's nasogastric tube

  • Otheradministration of saline solution

    Volume expansion via 500 mL of saline (Nacl 0.9%) administered by the venous route

06

What researchers measure

Primary outcomes

  1. systolic ejection volume

    variation in systolic ejection volume between base (time 1) and end of filling (time 2), expressed as a percentage.

    Time frame: 60 minutes

Secondary outcomes

  1. Blood pressure

    Time frame: immediately, 30 and 60 minutes after fluid administration

  2. Cardiac output

    Time frame: immediately, 30 and 60 minutes after fluid administration,

  3. volume of systolic ejections

    Time frame: immediately, 30 and 60 minutes after fluid administration

  4. arterial lactate level

    Time frame: immediately after filling, 60 minutes after fluid administration,

  5. Hourly diuresis

    Time frame: 60 minutes after fluid administration

  6. change in DO2

    Time frame: after filling, 60 minutes after fluid administration

  7. change in VO2

    Time frame: after filling, 60 minutes after fluid administration

  8. number ofAdverse effects of water administration

    (nausea, vomiting),

    Time frame: "through study completion, an average of 1 year".

  9. number Adverse effects of saline administration

    (natremia, chloremia, acute pulmonary edema, renal failure).

    Time frame: "through study completion, an average of 1 year".

07

Study locations

1 site
  • Chu Dijon Bourogne
    Dijon, 21000, France
08

References and documents

Publications

  • Guinot PG, Nguyen M, Duclos V, Soudry-Faure A, Bouhemad B; Water Study Group. Oral water ingestion in the treatment of shock patients: a prospective randomized study. Intensive Care Med. 2020 Nov;46(11):2111-2112. doi: 10.1007/s00134-020-06215-y. Epub 2020 Aug 26. No abstract available. PubMed 32851490 ↗
  • Guinot PG, Nguyen M, Duclos V, Berthoud V, Bouhemad B; water study group. Oral Water Has Cardiovascular Effects Up to 60 min in Shock Patients. Front Cardiovasc Med. 2021 Dec 20;8:803979. doi: 10.3389/fcvm.2021.803979. eCollection 2021. PubMed 34988132 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03951519
Lead sponsor
Centre Hospitalier Universitaire Dijon
Responsible party
Sponsor
First posted
May 15, 2019
Start date
May 24, 2019
Primary completion
Jan 30, 2020
Completion
Jan 30, 2020
Last update
Feb 3, 2026

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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