Status:

RECRUITING

The Relationship Between Trans-diaphragmatic Pressure and Diaphragmatic Contraction

Lead Sponsor:

University of Thessaly

Conditions:

Weaning Failure

Respiratory Paralysis

Eligibility:

All Genders

18+ years

Brief Summary

Through this study the investigators aim to clarify the relationship between trans-diaphragmatic pressure and various parameters of the diaphragmatic contraction evaluated by ultrasound. Moreover, a l...

Detailed Description

Protocol The patients will enter a Spontaneous Breathing Trial (S.B.T.) for sixty minutes. During the S.B.T. the desirable measurements will be made: transdiaphragmatic pressure, diaphragm thickening...

Eligibility Criteria

Inclusion

  • Patients meeting the following standards.
  • Respiratory Criteria
  • PaO2≥ 60mmHg with Fraction of Inspired Oxygen (FiO2) ≤ 40-50% \& Positive End Expiratory Pressure (PEEP) ≤ 5-8 cm H2O
  • PaCO2 normal or at the level of reference (allowed hypercapnia is allowed)
  • Patient is able to start ventilatory effort
  • Cardiovascular Criteria
  • Absence of myocardial ischemia
  • Heart Rate ≤140 bpm
  • Arterial Pressure normal without vasoconstriction or with minimum vasoconstriction support
  • Adequate level of consciousness
  • o Glasgow Coma Scale (GCS ≥ 13)
  • Absence of other reversible comorbidities
  • Afebrile Patient
  • Without important electrolyte disorders

Exclusion

  • Obese patients with B.M.I. \>35
  • pregnant women
  • patients \<18 years old

Key Trial Info

Start Date :

June 29 2018

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

June 30 2024

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT03802383

Start Date

June 29 2018

End Date

June 30 2024

Last Update

March 26 2024

Active Locations (1)

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1

Critical Care Unit

Larissa, Thessaly, Greece