- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02388282
A New Method for Estimating Dynamic Intrinsic PEEP (echoPEEPi)
A New Method for Estimating Dynamic Positive End-expiratory Pressure. Description and Validation With PEEPi Dyn Measured With Transdiaphragmatic Pressure
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
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.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
-
Bologna, Italy, 40185
- Sant'Orsola Malpighi
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
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.
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Correlation and agreement between AutoPEEP recorded with the transdiaphragmatic pressure (Pdi) vs ecography measurements.
Time Frame: 20 minutes
|
20 minutes
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Correlation and agreement between neural inspiratory time and ecographic inspiratory time
Time Frame: 10 minutes
|
10 minutes
|
Inter-rater agreement to assest method reliability
Time Frame: 10 minutes
|
10 minutes
|
Collaborators and Investigators
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 7/2015/O/Sper
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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