Pilot Study of Hypothermia for Intracerebral Hemorrhage in Croatia
Study Details
Study Description
Brief Summary
In this pilot study the researchers will investigate efficacy of hypothermia in the early stage of treatment patients with primary intracerebral hemorrhage.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 3 |
Detailed Description
The purpose of this pilot trial is to determine whether hypothermia improves neurological outcome (measured as 3 and 6 months after the onset of symptoms using mRS, GOS and BI) in patients who has suffered a primary intracerebral hemorrhage. The patients with primary intracerebral hemorrhage presented with coma (GCS ≤ 8) and ICH score 2-4 will be included. Induction of hypothermia will be initiated within 6 hours of symptoms onset. Patients will be cooled to core temperature of 34°C during 24 hours using non-invasive temperature management (Cincinnati Sub-Zero). The temperature will be measured continuously by esophageal system. After 24 hours of successful cooling, the target temperature will be gradually raised to achieve slow re-warming of 0.5°C / 2 h until the core temperature reaches 36,5°C.
During hypothermia ECG, blood pressure, oxygen saturation and intracranial pressure will be measured continuously and registered every 30 min. The first CT scan of the brain, after initial, will be done early after normothermia is reached.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Hypothermia Device: Cincinnati Sub-Zero Hyper-Hypothermia to core temperature of 34C for 24 hours, rewarming rate 0,5/2h until the patient reaches 36,5C |
Device: Cincinnati Sub-Zero," Blanketrol III"
|
Outcome Measures
Primary Outcome Measures
- Neurological outcome [3 months after the onset]
- Neurological outcome [6 months after the onset]
Secondary Outcome Measures
- Mortality [1 week]
- Mortality [1 month]
- Mortality [6 months]
- The incidence of significant cardiac arrhythmias, infections, severe disturbances of electrolytes [3 days]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
GCS ≤ 8
-
ICH score 2-4
-
symptom onset within 6 hours
-
ages 18 - 80
Exclusion Criteria:
-
pregnancy
-
hemodynamical unstability
-
recent myocardial infarction
-
systolic blood pressure < 90 mm Hg
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Intensive Care Unit, Department of Neurology, University Hospital Rijeka | Rijeka | Croatia | 51000 |
Sponsors and Collaborators
- University of Rijeka
- PharmamedMado d.o.o., Zagreb, Croatia
Investigators
- Principal Investigator: Igor Antoncic, MD, MSc, Intensive Care Unit, Departmen of Neurology, University Hospital Rijeka, Croatis
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HfICHiC