- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT02171091
Intubated ICU Patients
Impact of the Endotracheal Tube on Airway Inflammation: Prospective Analysis in Intubated ICU Patients
The purpose of this research study is to determine how cell changes during endotracheal intubation and artificial lung ventilation affect lung inflammation.
Patients will undergo placement of an endotracheal tube (ETT) as standard of care. Tracheal (windpipe) lavage will be obtained each day for up to 72 hours. Lung samples or fiberoptic (lung) samples will be collected at the same time intervals when possible and if they are done as standard of care.
Blood samples will be obtained simultaneous with the collection of the trachael (windpipe) specimens.
Studieoversigt
Status
Betingelser
Undersøgelsestype
Tilmelding (Faktiske)
Kontakter og lokationer
Studiesteder
-
-
Missouri
-
Saint Louis, Missouri, Forenede Stater, 63110
- Washington University School of Medicine
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
Inclusion Criteria
- Ages 18 to 85
- Required to have endotracheal intubation
- Admitted to an intensive care unit
Exclusion Criteria
- On immunosuppressive medications
- Previous tracheal surgery
- On azithromycin
- Pregnancy
- Cancer
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: Andet
- Tidsperspektiver: Fremadrettet
Kohorter og interventioner
Gruppe / kohorte |
---|
study arm
One tracheal sample will be obtained using sterile (5 ml) sterile saline solution using irrigation and wall suction from each patient every day for 72 hours, total sampling time is approximately 10 seconds per specimen.
Lung samples or fiberoptic obtained samples will be collected at same time intervals as the tracheal samples when possible and if they are done as standard of care.
Samples will not be collected for research only and the time for this procedure will not be extended to collect extra tissue.
A blood sample (10ml) will be collected simultaneously with the airway samples and also will be used for baseline control measurements.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
Neutrophil changes
Tidsramme: 72 hours
|
Identifying indicators of neutrophil inflammatory changes that occur during 72 hours of tracheal injury secondary to endotracheal intubation.
|
72 hours
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
analyze neutrophil activation
Tidsramme: 72 hours
|
Analyze neutrophil activation in the distal airways in biological samples obtained simultaneously with tracheal samples and to correlate them with the development of lung inflammation.
|
72 hours
|
correlate tracheal and lung neutrophil activation
Tidsramme: 72 hours
|
Correlate tracheal and lung neutrophil activation with development of pneumonia in ICU patients requiring mechanical ventilation.
|
72 hours
|
determine the impact of airway (tracheal, lung) inflammation
Tidsramme: 72 hours
|
Determine the impact of airway (tracheal, lung) inflammation as determined by neutrophil activation on the length of stay (LOS), discharge, and readmission to ICU in the first 90 days post airway inflammation (VAP) diagnosis.
|
72 hours
|
Samarbejdspartnere og efterforskere
Efterforskere
- Ledende efterforsker: Carlos Puyo, MD, Washington University School of Medicine
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
- 201404106
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
produkt fremstillet i og eksporteret fra U.S.A.
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Patienter, der kræver endotracheal intubation
-
The Catholic University of KoreaAfsluttetEndotracheal intubation | Individualiseret dybde af endotracheal intubationKorea, Republikken
-
Wuerzburg University HospitalUniversity Hospital, Bonn; University Hospital, AachenRekrutteringKonventionel versus videoassisteret laryngoskopi til perioperativ endotracheal intubation (COVALENT)Endotracheal intubationTyskland
-
Cukurova UniversityAfsluttetEndotracheal intubationKalkun
-
Mahidol UniversityAfsluttetIntubation, EndotrachealThailand
-
Ain Shams UniversityUkendt
-
Manuel Ángel Gómez-RíosAfsluttetEndotracheal intubationSpanien
-
Manuel Ángel Gómez-RíosAfsluttetEndotracheal intubationSpanien
-
Rambam Health Care CampusAfsluttetSammenligning mellem Etview trakeoskopisk ventilationsrør - TVT til standard endotracheal intubationEndotracheal intubationIsrael
-
The University of Texas Health Science Center,...Hospira, now a wholly owned subsidiary of PfizerAfsluttet