Comparison of 2 Doses of Mannitol on Post Traumatic Intracranial Hypertension and Cerebral Monitoring
Study Details
Study Description
Brief Summary
Will an increase of the dose of mannitol improve the effects on neuromonitoring in patients suffering intracranial hypertension following traumatic brain injury?
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Detailed Description
traumatic brain injury intracranial hypertension 0,4 g/ kg vs 0,8 g/ kg (randomized) on 20 minutes monitoring: ICP, transcranial doppler, brain pO2, MAP, HR, diuresis, biology duration: 2 hours
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: mannitol high dose mannitol 20% 0,8 g/ kg on minutes |
Drug: variation of mannitol dose
in case of intracranial hypertension up to 20 mmHg lasting more than 10 minutes and without nociceptive stimulation or systemic instability: injection of either 0.4 g/ kg or 0.8 g/ kg of mannitol 20% (randomized) on 20 minutes, with monitoring of neurologic, systemic and biologic datas during 120 minutes
|
Active Comparator: mannitol low dose mannitol 20% 0,4 g/ kg on minutes |
Drug: variation of mannitol dose
in case of intracranial hypertension up to 20 mmHg lasting more than 10 minutes and without nociceptive stimulation or systemic instability: injection of either 0.4 g/ kg or 0.8 g/ kg of mannitol 20% (randomized) on 20 minutes, with monitoring of neurologic, systemic and biologic datas during 120 minutes
|
Outcome Measures
Primary Outcome Measures
- intracranial pressure [2 hours]
Secondary Outcome Measures
- transcranial doppler [2 h]
- brain PO2 [2h]
- MAP [2h]
- Heart Rate [2h]
- biology (blood gases, natremia, hematocrit) [2h]
- diuresis [2h]
- fluid requirement [2h]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
adults
-
severe traumatic brain injury
-
intracranial hypertension requiring mannitol administration
Exclusion Criteria:
-
impeding neurosurgery
-
hemodynamic or respiratory severe failure
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Universitary Hospital | Grenoble | France | 38043 |
Sponsors and Collaborators
- University Hospital, Grenoble
Investigators
- Principal Investigator: Gilles Francony, MD, University Hospital, Grenoble
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 0816
- 2008-004979-21