Diaphragm Disease Clinical Trial
— ULTRASONICOfficial title:
Ultrasound as Diagnostic Tool in Diaphragm Dysfunction: a Prospective Observational Study.
Verified date | June 2024 |
Source | Isala |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The diaphragm is the main muscle for inspiration and vital for ventilation. Multiple diagnostic modalities can be performed in the work-up of suspected diaphragm dysfunction. Fluoroscopy has traditionally been the method of choice in diagnosing diaphragm paralysis and is still widely used in clinical practice, while alternative non-invasive and accessible methods have been available. Superiority of ultrasound over fluoroscopy for the diagnosis of diaphragm dysfunction has been suggested. The primary objective of this study is to investigate the construct validity of ultrasound in diaphragm paralysis.
Status | Completed |
Enrollment | 36 |
Est. completion date | March 21, 2024 |
Est. primary completion date | March 21, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - 18 years or older - Suspicion of diaphragm dysfunction based on medical history and/or physical examination; as determined by the treating physician. Exclusion Criteria: - Inability for fluoroscopy (e.g. severely limited mobility, or unable to follow vocal instructions). - Inability for diaphragm imaging (e.g. mechanical ventilation, or unable to follow vocal instructions). - Those not able or unwilling to give written informed consent. - Pregnant women |
Country | Name | City | State |
---|---|---|---|
Netherlands | UCMG | Groningen | |
Netherlands | Isala Klinieken | Zwolle | Overijssel |
Lead Sponsor | Collaborator |
---|---|
Isala |
Netherlands,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Concordance of diaphragm paralysis as determined by ultrasound compared with the construct for diaphragm paralysis based on traditional measurements | Parameters:
Paralysis (ultrasound): Qualitative (visual): Paradoxal movement OR Quantitative: Diaphragm Excursion(DE) < 0cm (negative). Paralysis (reference): (Physical examination suggestive of diaphragm dysfunction (i.e. paradoxal abdominal movement) OR Decrease in vital capacity of >15% when suspine) AND Paradoxal movement during fluoroscopy. |
From referall till completion of diagnostic tests. |
Status | Clinical Trial | Phase | |
---|---|---|---|
Not yet recruiting |
NCT05869045 -
POCUS and Respiratory Failure Prognosis Based on Diaphragmatic Dysfunction
|
||
Active, not recruiting |
NCT03266016 -
Real-time Effort Driven VENTilator Management
|
N/A | |
Completed |
NCT04444934 -
Intra-operative Visual Examination at IDS
|
||
Recruiting |
NCT04098939 -
Evaluation of Diaphragm Movement
|
||
Completed |
NCT04828408 -
Diaphragm Functions in Bariatric Surgeries
|
||
Recruiting |
NCT03126838 -
Diaphragmatic Dysfunction and Cardiac Surgery; Perioperative Assessment and Effect on Outcome
|
N/A | |
Completed |
NCT05670327 -
Diaphragmatic Ultrasound and Weaning After Lung Transplant.
|
||
Completed |
NCT04716504 -
Surgical Anatomy of the Distal Portion of the Phrenic Nerve
|
||
Recruiting |
NCT04735757 -
Effects of COVID-19 Infection and Critical Illness on Diaphragm Tissue Characteristics and Movement, Visualized With MRI
|
||
Completed |
NCT03704129 -
Educational Programme in Diaphragm Ultrasonographic Assessment
|
N/A | |
Not yet recruiting |
NCT05875883 -
Phrenic Identification in the ICU
|
||
Not yet recruiting |
NCT05467332 -
Tracheal Positive Pressure During High Flow Nasal Oxygen Administration in Critically Ill Patients: a Physiologic Study.
|
||
Completed |
NCT03539640 -
Effect PEEP on Diaphragm
|
N/A | |
Active, not recruiting |
NCT05019313 -
Diaphragm Ultrasound Evaluation During Weaning From Mechanical Ventilation in the Positive COVID-19 Patient
|