Physiologic Study of Cerebral Perfusion
Overview
- Phase
- Phase 4
- Intervention
- Lower doses of vasopressor therapy for a MAP of 65 mmHg
- Conditions
- Cerebral Perfusion Pressure
- Sponsor
- Centre de recherche du Centre hospitalier universitaire de Sherbrooke
- Enrollment
- 22
- Locations
- 1
- Primary Endpoint
- Global and regional cerebral blood flow
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The aim of the study is to measure cerebral perfusion using MRI in healthy subjects (with and without sedation) and in vasopressor-dependent patients
Investigators
François Lamontagne
Clinician Scientist
Université de Sherbrooke
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Arms & Interventions
Shock lower Mean Arterial Pressure (MAP)
Vasopressor-dependent treated to lower MAP (65 mmHg)
Intervention: Lower doses of vasopressor therapy for a MAP of 65 mmHg
Shock lower Mean Arterial Pressure (MAP)
Vasopressor-dependent treated to lower MAP (65 mmHg)
Intervention: Propofol for light sedation
Shock higher MAP
Vasopressor-dependent treated to higher MAP (75 mmHg)
Intervention: Higher doses of vasopressor therapy for a MAP of 75 mmHg
Shock higher MAP
Vasopressor-dependent treated to higher MAP (75 mmHg)
Intervention: Propofol for light sedation
Healthy participant sedated
Healthy participant Under light sedation
Intervention: Propofol for light sedation
Outcomes
Primary Outcomes
Global and regional cerebral blood flow
Time Frame: Within 15 minutes of intervention initiation
Cerebral blood flow will be measured by the arterial spin labeling technique (ASL) which provides information expressed in mL/100g/min. Using 3-T MRI technology,we will first acquire T1 images of the brain and sub-regions of interest. Thereafter, ASL sequences will be acquired in contiguous slices. The procedure will be followed on sedation and off sedation for healthy volunteers (in random order) and at mean arterial pressure of 65 mmHg and 75 mmHg (in random order) in patients receiving vasopressor therapy.