Incidence, Risk Factors and Outcomes of Diaphragm Dysfunction After Lung Transplantation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 15
- 试验地点
- 1
- 主要终点
- Incidence of diaphragm dysfunction at the first spontaneous breathing trial and at ICU discharge after lung transplantation
研究概览
简要总结
The study is designed to characterize the changes in diaphragm function after lung transplantation.
详细描述
Diaphragm dysfunction (DD) is a well-known complication after lung transplantation. Patients with an injured and dysfunctional diaphragm have greater difficulty weaning from mechanical ventilation post-transplant - they become too weak to breathe. However, little is known about the pre-transplant predictive factors associated with diaphragm dysfunction . We have developed a new technique employing beside ultrasound to measure diaphragm thickness. This allows us to observe changes in diaphragm muscle structure and function.
The goal of the study is to determine whether pre-transplant diaphragm thickness and function are associated with diaphragmatic dysfunction after lung transplantation. This will help us to confirm the best way to avoid diaphragm injury and to understanding the meaning of diaphragm ultrasound images.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients greater than 18 years of age
- •Listed for lung transplantation
排除标准
- •Known diagnosis of chronic neuromuscular disease
- •Relisting for transplantation
- •Bridging to lung transplantation with respiratory support
结局指标
主要结局
Incidence of diaphragm dysfunction at the first spontaneous breathing trial and at ICU discharge after lung transplantation
时间窗: First spontaneous breathing trial, an average of 1 to 7 days
Diaphragm ultrasound will be used to visualize diaphragm dysfunction (maximal thickening fraction \<20%)
次要结局
- Pre-transplant diaphragm thickness and function compared to post-transplant diaphragm dysfunction(1 day)
