Respiratory Insufficiency Clinical Trial
Official title:
Electrical Activity of the Diaphragm in Mechanically Ventilated Patients During the Weaning Period
Verified date | July 2013 |
Source | University of Turin, Italy |
Contact | n/a |
Is FDA regulated | No |
Health authority | Italy: Ministry of Health |
Study type | Interventional |
The study aims to assess 1) the electrical activity of the diaphragm in mechanically ventilated patients during weaning from mechanical ventilation. 2) Whether the electrical activity of the diaphragm may predict the weaning outcome
Status | Completed |
Enrollment | 50 |
Est. completion date | June 2012 |
Est. primary completion date | January 2012 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - All patients older than 18 years and mechanically ventilated for >= 48 h. - In the resolving stage of the disease which brought to mechanical ventilation. - Pao2/Fio2 ratio >150 on positive end-expiratory pressure (PEEP) <=8 cm H2O. - Sedation discontinued for a minimum of 24 hrs - Analgesia provided solely with morphine at a dosage of less or equal to 0.01 mg/kg/hr. - Patient fully alert and cooperative. - Intact respiratory drive evaluated with Glasgow Coma Scale >=10. Exclusion Criteria: - The attending physician refuses to allow enrolment - The patient refuses informed consent - Hemodynamic instability despite adequate filling (i.e. need for continuous infusion of epinephrine or vasopressin, or dopamine or dobutamine > 5 mcg/kg/min or norepinephrine > 0.1 mcg/kg/min to maintain systolic arterial blood pressure > 90 mmHg) - No collaborative Patient - Coagulation or platelets disorders - neuromuscular disease - phrenic nerve damage/diaphragm paralysis - contraindication to exchange naso-gastric tube - History of heart or lung transplantation - Presence or suspicion of a central nervous system disorder |
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
Country | Name | City | State |
---|---|---|---|
Italy | Marco Ranieri | Co.so Bramante 88 | Torino |
Lead Sponsor | Collaborator |
---|---|
University of Turin, Italy |
Italy,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Electrical activity of the diaphragm as a predictor of weaning outcome | 48 hours | No | |
Secondary | Comparison of electrical activity of the diaphragm as a predictor versus other predictors | 48 hours | No | |
Secondary | Evaluation of respiratory parameters during the weaning process | 48 hours | No |
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