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Lung Transplant; Complications clinical trials

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NCT ID: NCT03367221 Recruiting - Clinical trials for Ventilator-Induced Lung Injury

Physiological Response in Lung Transplant Recipients Undergoing Neurally Adjusted Ventilatory Assist

TRANS-NAVA
Start date: November 23, 2017
Phase: N/A
Study type: Interventional

Primary Graft Dysfunction (PGD) respresents the leading cause of mortality in early post-operative period of Lung Tranplantation (LTx). Protective ventilatory strategy could potentially reduce the risk of PGD in these patients. Neurally Adjusted Ventilatory Assist (NAVA) is an assisted ventilation mode that could allow to adopt this strategy. Aim of the study is to assess the feasibility of NAVA in the early post-LTx phase and to describe the breathing pattern and the physiological relationship between neural respiratory drive and different levels of ventilatory assist, in the absence of pulmonary vagal afferent feedback.

NCT ID: NCT03276403 Recruiting - Clinical trials for Lung Transplant; Complications

Primary Graft Dysfunction Score in Lung Transplantation

Start date: November 1, 2016
Phase: N/A
Study type: Observational

The validity of several functional parameters, which could be included in a new PGD scoring system, will be tested in a prospective pilot study of 80 consecutive bilateral lung transplant recipients in high volume lung transplant centers. Functional parameters will be collected at different time points within the first 72hrs after lung transplantation and their accuracy in predicting clinical outcome as well as their correlation with lung water content (measured by PiCCO) will be tested. Insights will serve to generate a hypothesis (a novel PGD score), which can then be tested in future prospective trials.