Ventriculostomy in Subarachnoid Hemorrhage (SAH): Intracranial Pressure (ICP) Open or Not? (VISION 2)
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Purpose
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 |
|---|
|
Subarachnoid Hemorrhage |
| Study Type: | Observational |
| Study Design: | Observational Model: Case Control Time Perspective: Prospective |
| Official Title: | Ventriculostomy in SAH: ICP Open or Not? |
- Cerebral artery vasospasm [ Time Frame: 14 days ] [ Designated as safety issue: No ]
| Enrollment: | 60 |
| Study Start Date: | March 2009 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Monitor then drain
Subjects who are treated with intermittent CSF drainage
|
|
Drain then monitor
Subjects who are treated with continuous CSF drainage at set pressure thresholds
|
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.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Patients with subarachnoid hemorrhage
Inclusion Criteria:
- Admitted to Duke University NCCU
- Adult (18 years of age or older)
- Primary diagnosis is Subarachnoid Hemorrhage
- Intraventricular catheter in situ
Exclusion Criteria:
- Glasgow Coma Score = 3
- Hunt and Hess Score = 5
- Prisoners
- Ventriculostomy > 72 hours
Contacts and Locations| United States, North Carolina | |
| Duke University Medical Center | |
| Durham, North Carolina, United States, 27710 | |
| Principal Investigator: | DaiWai M Olson, PhD RN CCRN | Duke University |
More Information
No publications provided
| Responsible Party: | Duke University |
| ClinicalTrials.gov Identifier: | NCT01169454 History of Changes |
| Other Study ID Numbers: | Pro00016054 |
| Study First Received: | July 22, 2010 |
| Last Updated: | November 15, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Duke University:
|
Cerebral Spinal Fluid Ventriculostomy Subarachnoid hemorrhage Vasospasm Human Subjects |
Additional relevant MeSH terms:
|
Hemorrhage Subarachnoid Hemorrhage Pathologic Processes Intracranial Hemorrhages Cerebrovascular Disorders |
Brain Diseases Central Nervous System Diseases Nervous System Diseases Vascular Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on May 23, 2013