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Respiratory Mechanics in Brain Injured Patients
This study is currently recruiting participants.
Verified by Università degli Studi dell'Insubria, March 2008
Sponsored by: Università degli Studi dell'Insubria
Information provided by: Università degli Studi dell'Insubria
ClinicalTrials.gov Identifier: NCT00639990
  Purpose

The hypothesis is that brain injury patients have alterations of the respiratory system related to intraabdominal pressure. Furthermore application of moderate levels of PEEP may improve respiratory function in these patients.


Condition Intervention
Brain Injury
Acute Lung Injury
Other: PEEP

MedlinePlus related topics: Traumatic Brain Injury
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Crossover Assignment
Official Title: Effects of PEEP in Brain Injury Patients

Further study details as provided by Università degli Studi dell'Insubria:

Primary Outcome Measures:
  • Improvement of respiratory function with PEEP [ Time Frame: 30 min ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Relations of respiratory mechanics (lung and chest wall) with intraabdominal pressure [ Time Frame: 30 min ] [ Designated as safety issue: No ]

Estimated Enrollment: 40
Study Start Date: June 2007
Estimated Study Completion Date: December 2008
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Control: Active Comparator
Patients without lung injury and brain injury
Other: PEEP
Application of positive end expiratory pressure
Brain No ALI 1: Experimental
Patients with brain injury and no lung injury within 72 hours from ICU entry
Other: PEEP
Application of positive end-expiratory pressure
Brain No ALI 2: Experimental
Patients with brain injury and no ALI after 72 hours from ICU entry
Other: PEEP
Application of positive end-expiratory pressure
Brain ALI: Experimental
Patients with brain injury and Acute Lung Injury (ALI)
Other: PEEP
Application of positive end-expiratory pressure

Detailed Description:

We investigate the mechanical properties of the respiratory system, partitioned into its lung and chest wall components, the functional residual capacity, the gas-exchange and alveolar recruitment in brain injured patients.

The measurements will be performed under sedation at different levels of PEEP. The following groups will be included: a) control patients withot lung injury and brain injury; b) brain injured patients without lung injury within the first 72 hours; c) brain injured patients without lung injury after 72 hours; d) brain injured patients with lung injury. Brain injury was defined as primary or secondary. Respiratory functional data will be related to intra-abdominal pressure.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male and Female
  • Age > 18 yrs
  • Mechanical ventilation
  • No smoker
  • No lung injury at entry
  • Brain injury (traumatic or postoperative or spontaneous bleeding) in brain injury group

Exclusion Criteria:

  • Pregnancy
  • Hemodynamic instability
  • Immunodepression
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00639990

Contacts
Contact: Paolo Pelosi, MD 0039-0332-278801 ppelosi@hotmail.com

Locations
Italy
Ospedale di Circolo e Fondazione Macchi Recruiting
Varese, Italy, 21100
Contact: Paolo Severgnini, MD     0039-0332-278801     paolo.severgnini@uninsubria.it    
Sponsors and Collaborators
Università degli Studi dell'Insubria
Investigators
Principal Investigator: Paolo Pelosi, MD University of Insubria, Varese
  More Information

Responsible Party: University of Insubria Varese, Italy ( Pelosi Paolo )
Study ID Numbers: 003, No financial support
Study First Received: March 12, 2008
Last Updated: March 12, 2008
ClinicalTrials.gov Identifier: NCT00639990  
Health Authority: Italy: National Institute of Health

Keywords provided by Università degli Studi dell'Insubria:
Intraabdominal pressure

Study placed in the following topic categories:
Craniocerebral Trauma
Respiratory Tract Diseases
Lung Diseases
Respiration Disorders
Respiratory Distress Syndrome, Adult
Wounds and Injuries
Disorders of Environmental Origin
Central Nervous System Diseases
Acute respiratory distress syndrome
Trauma, Nervous System
Brain Diseases
Brain Injuries

Additional relevant MeSH terms:
Nervous System Diseases

ClinicalTrials.gov processed this record on January 16, 2009