Phrenic Identification in the ICU

Status Not yet recruiting

Clinical Trial Summary

This will be a prospective observational study where the investigator will scan patients' necks with an ultrasound and look for anatomical landmarks that may help identify the phrenic nerve.

Clinical Trial Description

Patients under protective mechanical ventilation, an intervention that saves lives, may need sedation and paralyzing agents. However, sedation and paralyzing agents are associated with multiple complications, including diaphragm dysfunction. Several strategies have been proposed to reduce diaphram dysfunction. A novel approach is to stimulate the phrenic nerve, either transvenously or transcutaneously. Transvenous stimulation requires a catheter, which eventually is associated with increased risk of infection and thrombosis. In this scenario, transcutaneous phrenic nerve pacing is attractive but may be more susceptible to patients' anthropometric measures. The correlation between patients' anthropometric measures and the location of the phrenic has been poorly studied. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT05875883
Study type	Observational
Source	Unity Health Toronto
Contact	Laurent Brochard, MD
Phone	416-864-6060
Email	Laurent.Brochard@unityhealth.to
Status	Not yet recruiting
Phase
Start date	August 7, 2023
Completion date	December 4, 2023

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT04546867` - Establishing a Sonographic Based Algorithm to Verify Pancreatic Stent Position Placed to Prevent Post-ERCP Pancreatitis Before Endoscopic Removal	N/A
Not yet recruiting	`NCT06053892` - AR US Versus sUS or Fluoroscopic Injections for Shoulder Punction	N/A
Completed	`NCT05013476` - Tele-Ultrasound: VIrtual Hands-on Education for Novice Users	N/A
Completed	`NCT04554472` - Usefulness of Intraoperative Ultrasound in a Volar Plate Distal Radius Fixation
Not yet recruiting	`NCT06456957` - Fetal Abdominal Subcutaneous Tissue Thickness in Prediction of Fetal Weight in Term Pregnant Women
Not yet recruiting	`NCT04550793` - Using Shear Wave Ultrasound Elastography for Follow up After Anti-spastic Intervention Among Stroke Patients
Completed	`NCT03563196` - Diagnosis Of Pulmonary Complications After Cardiac Surgery In Children
Completed	`NCT01666626` - Ultrasound Stiffness Imaging in Crohn's Disease	N/A
Active, not recruiting	`NCT04928560` - Diagnosis of Superficial Lymphadenopathy
Recruiting	`NCT05938790` - Point of Care Ultrasound in Obstetric Triage	N/A
Completed	`NCT06098105` - Laparoscopic vs Ultrasound-Guided Transversus Abdominis Plane Block vs Laparoscopic Intraperitoneal Instillation of Local Anesthetic in Pediatrics	N/A
Recruiting	`NCT02834585` - Magnetic Resonance Imaging or Ultrasound in Soft Tissue Tumors (MUSTT)	N/A
Completed	`NCT02661607` - Point of Care Echocardiography Versus Chest Radiography for the Assessment of Central Venous Catheter Placement	N/A
Completed	`NCT01519167` - Open-Label, Safety Study Evaluating the Use of Dexmedetomidine in Pediatric Subjects Undergoing Procedure-Type Sedation	Phase 4
Completed	`NCT04612816` - Live Stream of Ultrasound in Prehospital Medical Care
Active, not recruiting	`NCT06195488` - Gastric Ultrasound in Diabetic Patients
Recruiting	`NCT06199856` - Assessment System for Sarcopenia Based on Ultrasonographic Data
Completed	`NCT04574258` - Prospective Multicenter Study on Clinical Application of Sonozoid in Thyroid Tumor
Not yet recruiting	`NCT04563897` - Prospective Multicenter Study on Clinical Application of Sonazoid in Liver Tumor
Completed	`NCT04124770` - Neck Position and Ultrasound Landmark of Cricothyroid Membrane