Monitoring of Regional Lung Ventilation by Chest Electrical Impedance in the Course of Extubation

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-15

Study Completion Date

2021-08-19

Brief Summary

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The Electrical Impedance Tomography (EIT) is a non-invasive exam. This exam performed on the lung continuously produces cross-sectional images of lung function. It may be relevant in lung description.

Detailed Description

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The aim is to follow the patients after extubation for the lung description.

EIT exam is performed before extubation, during follow-up visits and 48H after extubation

Conditions

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Respiratory Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

No-randomized,no-comparative study

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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EIT

Electrical Impedance Tomography is performed before extubation, during follow up visits of extubation and 48H after extubation

Group Type OTHER

EIT

Intervention Type DEVICE

Electrical Impedance Tomography is performed before extubation, during follow-up visits of extubation and 48H after extubation. Follow-up visits are shortened in case of extubation failure.

Interventions

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EIT

Electrical Impedance Tomography is performed before extubation, during follow-up visits of extubation and 48H after extubation. Follow-up visits are shortened in case of extubation failure.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Age\> 65 years
2. Invasive mechanical ventilation time greater than 48 hours
3. known or suspected Chronic obstructive pulmonary disease
4. Known or suspected heart failure
5. Success in the spontaneous ventilation and extubation test scheduled by the doctor in charge
6. Patient or trusted person who has been informed of the study and has consented to participate

Exclusion Criteria

1. Pregnant women, minor patients
2. Patients under extracorporeal circulatory assistance (ECMO)
3. Refusal of the patient
4. Contraindications to the realization of the phrenic nerve stimulation technique:

* Pacemaker, implantable cardiac defibrillator and other pacemakers
* Spinal implants, thoracic drains ...
* Copper allergy
* Epileptic patients
5. Patients performing uncontrolled body movements
6. Contraindications to the realization of the technique of Electrical Imaging Tomography:

* Breast circumference not between 70 cm and 150 cm.
* Body mass index (BMI) greater than 50
* Impossibility of placing the CT belt at the level of the chest skin (lesions, bandages, dressings, chest drains ...)
* Patients with unstable spinal lesions or fractures
* Allergy to tomography belt materials: silicone, brass, stainless steel
* Pacemaker, implantable cardiac defibrillator and other pacemakers
7. Patients under legal protection (tutorship / guardianship)

Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Responsible Party

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Responsibility Role SPONSOR

Locations

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Aphp_La Pitie Salpetriere

Paris, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Eleonore CAILLET

Role: CONTACT

Phone: 0156092017

Email: [email protected]

Facility Contacts

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MARTIN DRES, DR

Role: primary

References

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Joussellin V, Bonny V, Spadaro S, Clerc S, Parfait M, Ferioli M, Sieye A, Jalil Y, Janiak V, Pinna A, Dres M. Lung aeration estimated by chest electrical impedance tomography and lung ultrasound during extubation. Ann Intensive Care. 2023 Sep 26;13(1):91. doi: 10.1186/s13613-023-01180-3.

Reference Type DERIVED

PMID: 37752365 (View on PubMed)

Other Identifiers

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2019-A02986-51

Identifier Type: -

Identifier Source: org_study_id