Influence Positive End-expiratory Pressure on Autoregulation in Patients With Respiratory Insufficiency (dARICUPEEP)

This study has been completed.
Sponsor:
Information provided by:
Johannes Gutenberg University Mainz
ClinicalTrials.gov Identifier:
NCT01376518
First received: June 14, 2011
Last updated: June 17, 2011
Last verified: August 2010

June 14, 2011
June 17, 2011
January 2011
June 2011   (final data collection date for primary outcome measure)
Change from Baseline cerebrovascular autoregulation due to elevated positive end-expiratory pressure [ Time Frame: 1 Year ] [ Designated as safety issue: No ]
Is there an impairment of cerebrovascular autoregulation due to positive end-expiratory pressure ventilation this will be a major side effect especial in patients with brain injury.
Same as current
Complete list of historical versions of study NCT01376518 on ClinicalTrials.gov Archive Site
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Influence Positive End-expiratory Pressure on Autoregulation in Patients With Respiratory Insufficiency
Influence of Positive End-expiratory Pressure on the Cerebrovascular Autoregulation in Patients With Respiratory Failure

The aim of the present study is to characterize the influence of an elevated positive end-expiratory pressure in patients with acute respiratory distress syndrome or acute lung injury on the cerebrovascular autoregulation.

Cerebral blood flow velocity will be measured using transcranial Doppler sonography and then correlate with the invasive arterial blood pressure curve to calculate the index of cerebrovascular autoregulation Mx (Mx>0.3 indicates impaired AR). The index of cerebrovascular autoregulation Mx was measured during baseline positive end-expiratory pressure (PEEP) levels and after lung recruitment with higher level of PEEP. The equality between this two PEEP levels was estimated and calculated with one side Wilcoxon test.

Observational
Time Perspective: Prospective
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Probability Sample

Adult patients on intensive care unit with acute respiratory failure

Respiratory Insufficiency
Procedure: positive end-expiratory pressure
Elevation of positive end-expiratory failure for recruitment
Other Name: PEEP
respiratory failure
patients with respiratory failure and need of high positive end-expiratory pressure ventilation.
Intervention: Procedure: positive end-expiratory pressure
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
20
June 2011
June 2011   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • respiratory failure
  • Age >18 years
  • Invasive ventilation

Exclusion Criteria:

  • Sepsis
  • preexisting cerebral illness
  • traumatic brain injury
  • meningitis or encephalitis
  • pregnancy
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Germany
 
NCT01376518
837.041.10 1
No
Patrick Schramm, Johannes Gutenberg-University Mainz
Johannes Gutenberg University Mainz
Not Provided
Principal Investigator: Patrick Schramm, MD Department of Anesthesiology, University medicine Mainz, Germany
Johannes Gutenberg University Mainz
August 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP