VISION 2: Ventriculostomy in Subarachnoid Hemorrhage (SAH): Intracranial Pressure (ICP) Open or Not?
Study Details
Study Description
Brief Summary
The purpose of this study is to explore two currently accepted methods of intracranial pressure (ICP) management through cerebral spinal fluid (CRF) drainage for patients diagnosed with subarachnoid hemorrhage (SAH). This is a randomized observational study of two physician-prescribed approaches to managing ICP monitoring and CSF drainage for SAH patients. The study will enroll only those patients who have ICP monitoring. Because this is an observational study, there are no physical risks to the patient, the only risk is loss of confidentiality.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Patients diagnosed with subarachnoid hemorrhage (SAH) who require intracranial pressure (ICP) management through cerebral spinal fluid (CRF) drainage will be eligible for this study.
Subjects will be randomized to receive one of two currently accepted methods of ICP management. The first is ICP monitoring with intermittent CSF drainage and the second is through continuous CSF drainage at set pressure thresholds.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Monitor then drain Subjects who are treated with intermittent CSF drainage |
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Drain then monitor Subjects who are treated with continuous CSF drainage at set pressure thresholds |
Outcome Measures
Primary Outcome Measures
- Cerebral artery vasospasm [14 days]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Admitted to Duke University NCCU
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Adult (18 years of age or older)
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Primary diagnosis is Subarachnoid Hemorrhage
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Intraventricular catheter in situ
Exclusion Criteria:
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Glasgow Coma Score = 3
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Hunt and Hess Score = 5
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Prisoners
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Ventriculostomy > 72 hours
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Duke University Medical Center | Durham | North Carolina | United States | 27710 |
Sponsors and Collaborators
- Duke University
- Medtronic
Investigators
- Principal Investigator: DaiWai M Olson, PhD RN CCRN, Duke University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Pro00016054