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Comparison of Two Tests in the Assessment of the Accuracy of Esophageal Pressure Variations Measurement During Mechanical Ventilation

Completed
Conditions
Esophageal Pressure Measurement
Interventions
Other: Occlusion test
Other: Thoraco-abdominal compressions
Registration Number
NCT02036788
Lead Sponsor
Policlinico Hospital
Brief Summary

Esophageal pressure measurement, obtained with the use of an esophageal balloon catheter, is fundamental to assess mechanical characteristics of the respiratory system during mechanical ventilation. The correct positioning of the catheter (usually at the medium third of the esophagus) is crucial for an accurate measurement of esophageal pressure. Usually the correct positioning of the catheter is verified with an occlusion test (If the patient is breathing spontaneously) or with thoraco-abdominal compressions (if the patient is sedated and paralyzed). Aim of this study is to compare the accuracy of these two methods at different PEEP and esophageal catheter positions.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Mechanical ventilation for clinical purposes
Exclusion Criteria
  • Hemodynamic instability
  • Esophageal diseases
  • Refusal of the patient

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Postsurgical patients intubated and breathing spontaneouslyOcclusion test-
Postsurgical patients sedated and paralizedThoraco-abdominal compressionsPatients admitted to ICU after surgery, treated with mechanical ventilation, sedated and paralized
Primary Outcome Measures
NameTimeMethod
Correct esophageal catheter balloon position10 minutes after the start of the study
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico

🇮🇹

Milan, Italy

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