NCT00529347
Completed
Phase 1
The Effect of Positive End Expiratory Pressure (PEEP) on the Breathing Pattern During Neurally Adjusted Ventilatory Assist (NAVA)
ConditionsMechanical Ventilation
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Mechanical Ventilation
- Sponsor
- Insel Gruppe AG, University Hospital Bern
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Change in diaphragmatic Edi (area under the curve) during expiration
- Status
- Completed
- Last Updated
- 16 years ago
Overview
Brief Summary
Neurally adjusted ventilatory assist (NAVA) is a new concept of mechanical ventilation. NAVA delivers assist to spontaneous breathing based on the detection of the electrical activity of the diaphragm. We study the effect of changing ventilatory parameters on the patient's breathing pattern during NAVA.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Invasive mechanical ventilation (tracheally intubated or tracheotomized)
- •Presence of an arterial pressure line.
- •Subject itself or its next of kin has given written informed consent
Exclusion Criteria
- •Patient is less than 18 years or more than 85 years of age
- •The attending physician refuses to allow enrollment
- •The patient refuses informed consent
- •Next of kin is unavailable or refuses informed consent
- •Pregnant or breast-feeding female. A pregnancy test will be performed in all female patients less than 60 years of age.
- •Any contraindication to insertion/exchange a nasogastric tube, including (but not limited to): severe oropharyngeal malformation or bleeding; esophageal varices, tumor, infection, stenosis, or rupture
- •Presence or suspicion of diaphragm injury
- •Hemophilia or other severe bleeding disorder
- •Presence or suspicion of a central nervous system (CNS) disorder, including (but not limited to): CNS infarction, bleeding, tumor, or infection
- •History of heart and/or lung transplantation
Outcomes
Primary Outcomes
Change in diaphragmatic Edi (area under the curve) during expiration
Time Frame: At each intervention
Study Sites (1)
Loading locations...
Similar Trials
Completed
Phase 1
Neurally Adjusted Ventilatory Assist (NAVA) in Patients With Critical Illness Associated Polyneuropathy / or Polymyopathy (CIP/M)PolyneuropathyPolymyopathyNCT00614562Insel Gruppe AG, University Hospital Bern15
Unknown
Phase 3
Application of Neurally Adjusted Ventilatory Assist to Children After Congenital Cardiac SurgeryMechanical Ventilation ComplicationCongenital Heart DiseaseNCT01662011Shanghai Jiao Tong University School of Medicine72
Withdrawn
Phase 1
Non-invasive Neurally Adjusted Ventilatory AssistRespiratory FailureNCT01280383Insel Gruppe AG, University Hospital Bern
Unknown
Not Applicable
Cardiopulmonary Effect of Mechanical Ventilation in Children With Right Ventricular HypertrophyHeart-lung InteractionRight Ventricular HypertrophyPostoperative CareCongenital Heart DiseaseMechanical VentilationNCT04825054Limin Zhu30
Completed
Phase 1
Non-invasive Neurally Adjusted Ventilatory Assist in Healthy VolunteersHealthyNCT00941044Insel Gruppe AG, University Hospital Bern16