Evaluation of Breathing Effort in Spontaneously Breathing Subjects

NCT ID: NCT04051645

Last Updated: 2021-02-26

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-24

Study Completion Date

2021-09-01

Brief Summary

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The aim of the research project is to evaluate the breathing effort using the Work of Breathing (WoB) and Pressure-Time Product (PTP) parameters, depending on the increasing flow resistance. The research project is concerned with assessing the increased (imposed) breathing effort using the Work of Breathing (iWoB) and the Pressure-Time Product (iPTP).

The main hypothesis tested is the differential effect of flow resistance on iWoB and iPTP parameters in spontaneous breathing of healthy probands.

Detailed Description

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Due to the different calculation of iWoB and iWoB, these parameters may be affected at higher flow resistance values. The proposed experiment will be used to compare iWoB and iPTP obtained during spontaneous breathing to healthy subjects.

Conditions

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Healthy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

In the experiment, the proband will breathe through the D-Lite measuring screen of the Datex-Ohmeda S/5 Patient Monitor patient monitor (GE, USA). Unlike clinical practice, an adjustable flow resistance will be connected to the system. The flow resistance is set by adjustable by a removable diaphragm with different hole diameters according to the intended flow resistance.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

No masking will be done

Study Groups

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Breathing through a system with adjustable flow resistance

During the experiment, the volunteers will breathe through ten adjustable flow resistances and their work of breathing will be measured.

Group Type EXPERIMENTAL

Breathing through a system with adjustable flow resistance

Intervention Type DEVICE

The proband will breathe through the adjustable flow resistance within the experiment, to which a standard D-lite Flow sensor will be connected, and the airway pressure, flow, minute consumption, oxygen and carbon dioxide, tidal volume, oxygen saturation of peripheral blood and oxygen and carbon dioxide concentrations in both inspired and expired air will be recorded using the Datex-Ohmeda S/5 Patient Monitor vital signs monitor.

The proband will breathe through the flow resistors in a randomized order, and pre-defined three-minute pauses will be maintained between measurements with different flow resistance values. Each measurement will take approximately two minutes and will be measured on ten different flow resistances.

Interventions

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Breathing through a system with adjustable flow resistance

The proband will breathe through the adjustable flow resistance within the experiment, to which a standard D-lite Flow sensor will be connected, and the airway pressure, flow, minute consumption, oxygen and carbon dioxide, tidal volume, oxygen saturation of peripheral blood and oxygen and carbon dioxide concentrations in both inspired and expired air will be recorded using the Datex-Ohmeda S/5 Patient Monitor vital signs monitor.

The proband will breathe through the flow resistors in a randomized order, and pre-defined three-minute pauses will be maintained between measurements with different flow resistance values. Each measurement will take approximately two minutes and will be measured on ten different flow resistances.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Healthy males and females \> 18 and \< 40 years old
* Signed informed consent has been obtained

Exclusion Criteria

* Respiratory disease
* Pregnancy
* Cardiovascular disease
* Diabetes mellitus
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Czech Technical University in Prague

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Karel Roubik, Prof.

Role: STUDY_DIRECTOR

Czech Technical University in Prague, Fac. of Biomedical Engineering

Locations

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Department of Biomedical Technology Faculty of Biomedical Engineering Czech Technical University in Prague

Kladno, Czech Republic, Czechia

Site Status RECRUITING

Countries

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Czechia

Central Contacts

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Karel Roubík, Prof.

Role: CONTACT

+420603479901

Jakub Rafl, PhD

Role: CONTACT

+420728229991

Facility Contacts

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Karel Roubík, Prof.

Role: primary

+420 603 479 901

Anna Miltová

Role: backup

+420 774 670 233

References

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Bellani G, Pesenti A. Assessing effort and work of breathing. Curr Opin Crit Care. 2014 Jun;20(3):352-8. doi: 10.1097/MCC.0000000000000089.

Reference Type BACKGROUND
PMID: 24722059 (View on PubMed)

de Vries H, Jonkman A, Shi ZH, Spoelstra-de Man A, Heunks L. Assessing breathing effort in mechanical ventilation: physiology and clinical implications. Ann Transl Med. 2018 Oct;6(19):387. doi: 10.21037/atm.2018.05.53.

Reference Type BACKGROUND
PMID: 30460261 (View on PubMed)

Dodd DS, Kelly S, Collett PW, Engel LA. Pressure-time product, work rate, and endurance during resistive breathing in humans. J Appl Physiol (1985). 1988 Apr;64(4):1397-404. doi: 10.1152/jappl.1988.64.4.1397.

Reference Type BACKGROUND
PMID: 3378975 (View on PubMed)

Collett PW, Perry C, Engel LA. Pressure-time product, flow, and oxygen cost of resistive breathing in humans. J Appl Physiol (1985). 1985 Apr;58(4):1263-72. doi: 10.1152/jappl.1985.58.4.1263.

Reference Type BACKGROUND
PMID: 3988680 (View on PubMed)

Cabello B, Mancebo J. Work of breathing. Intensive Care Med. 2006 Sep;32(9):1311-4. doi: 10.1007/s00134-006-0278-3. Epub 2006 Jul 13. No abstract available.

Reference Type BACKGROUND
PMID: 16838150 (View on PubMed)

Other Identifiers

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iWoBvsiPTP

Identifier Type: -

Identifier Source: org_study_id

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