ECHODIA: Sonographic Evaluation of Diaphragmatic Function in Critical Care Patients With Use of Non Invasive Ventilation
Study Details
Study Description
Brief Summary
Usefulness of non invasive ventilation in patients extubated after more than 48 hours of invasive ventilation is still in debate except for specific patients (chronic pulmonary disease and chronic heart failure).
Many experimental and clinical studies have shown that diaphragmatic function is depressed by mechanical ventilation in intubated patients.
The investigators will test the hypothesis that non invasive ventilation after extubation may improve diaphragmatic function
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
- Diaphragmatic excursion [Before the first NIV session]
- Diaphragmatic thickening [Before the first NIV session]
- Diaphragmatic excursion [After the first NIV session]
- Diaphragmatic thickening [After the first NIV session]
- Diaphragmatic excursion [After 24 h of NIV use]
- Diaphragmatic thickening [After 24 h of NIV use]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patient extubated after at least 48 hours of invasive ventilation
-
Requiring non invasive ventilation
-
Consent of patient
Exclusion Criteria:
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Diaphragmatic paralysis
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Neuromuscular disease
-
significant pleural effusion
-
atelectasis requiring bronchoscopy
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abdominal hypertension
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Service d'anesthésie- réanimation chirurgicale, Nouvel Hôpital Civil, Hôpitaux Universitaires de Strasbourg | Strasbourg | France | 67091 |
Sponsors and Collaborators
- University Hospital, Strasbourg, France
Investigators
- Principal Investigator: Gharib AJOB, MD, Hôpitaux Universitaires de Strasbourg
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 5957