A New Method for Estimating Dynamic Intrinsic PEEP

NCT ID: NCT02388282

Last Updated: 2015-12-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

10 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-04-30

Study Completion Date

2015-11-30

Brief Summary

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Dinamic intrinsic PEEP is

Detailed Description

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Dynamic intrinsic positive end-expiratory pressure (PEEPi dyn) play an important pathophysiology role in many acute respiratory pathologies.

The most accurate method to quantify PEEPi dyn is to measure the rise in transdiaphragmatic pressure (Pdi) at end expiration at the point of the contraction of the inspiratory muscles until inspiratory flow starts.

Such method, however, is invasive, poor comfortable and require patient active collaboration.

The purpose of this study is describe a new non-invasive method for estimate PEEPi dyn and validate this method with gold-standard-one.

Conditions

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PEEP, Intrinsic PEEP, Occult Respiratory Insufficiency

Keywords

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dynamic intrinsic PEEP diaphragm echography respiratory mechanics

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Interventions

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diaphragm ecography

recording of diaphragm ecography

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Acute or chronic respiratory failure
* Age \>=18 y

Exclusion Criteria

* Lack of informed consent
* Controindication to the placement of oesophageal and gastric catheter:

esophageal varices, gastric or oesophageal bleeding in the previous 30 days, gastric or oesophageal surgery in the preceding year.

* Cardiac arrest
* Severe emodinamic instability (\> 1 vasoacttive drug)
* Acute coronary syndrome (AMI/UA)
* Inability to protect airway
* Respiratory arrest
* Pregnancy suspected or confirmed
* Diaphragm palsy
* Curarization in the preceding five hours
* Mechanical ventilation in controlled mode.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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IRCCS Azienda Ospedaliero-Universitaria di Bologna

OTHER

Sponsor Role lead

Responsible Party

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dr. Stefano Nava

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sant'Orsola Malpighi

Bologna, , Italy

Site Status

Countries

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Italy

References

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Bernardi E, Pisani L, Fasano L, Lauria G, Comellini V, Appendini L, Conti G, Tosello F, Pizzolato E, Nava S. A New Ultrasound Method for Estimating Dynamic Intrinsic Positive Airway Pressure: A Prospective Clinical Trial. Am J Respir Crit Care Med. 2018 Aug 1;198(3):392-396. doi: 10.1164/rccm.201706-1292LE. No abstract available.

Reference Type DERIVED
PMID: 29558160 (View on PubMed)

Other Identifiers

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7/2015/O/Sper

Identifier Type: -

Identifier Source: org_study_id