Hyperventilation Clinical Trial
Official title:
Effects of Moderate Hyperventilation on Cerebral Hemodynamics, Oxygenation and Metabolism in Patients With Severe Traumatic Brain Injury
Elevated intracranial pressure is a dangerous and potentially fatal complication after
traumatic brain injury. Hyperventilation is a medical intervention to reduce elevated
intracranial pressure by inducing cerebral vasoconstriction, which might be associated to
cerebral ischemia and hypoxia.
The main hypothesis is that a moderate degree of hyperventilation is sufficient to reduce the
intracranial pressure without inducing cerebral ischemia.
In patients with severe traumatic brain injury (TBI), and with intracranial
pressure-monitoring, brain tissue oxygen tension and/or microdialysis probes
hyperventilation-tests are performed in the acute phase after trauma. Data are collected and
TCCD measurements are performed at baseline, at the beginning of moderate hyperventilation,
after prolonged moderate hyperventilation (for 50 minutes) and after return to baseline.
The present study aims to quantify potential adverse effects of moderate short-term
hyperventilation during the acute phase of the severe TBI on cerebral hemodynamics,
oxygenation, and metabolism.
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