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Surface Mechanomyography Using a Parasternal Patch to Measure and Detect Respiratory Drive and Effort

Not Applicable
Completed
Conditions
Acute Respiratory Failure
Interventions
Device: non-invasive ventilation with or without resistance
Registration Number
NCT06046898
Lead Sponsor
University Hospital, Angers
Brief Summary

Surface mechanomyography (sMMG) has been proposed as a tool to study muscle mechanical activity. sMMG is a noninvasive technique using specific transducers to record muscle surface oscillations due to mechanical activity of the motor units . It could be of major interest for the detection of respiratory efforts in patients with respiratory failure. This study aims at assessing the performances of sMMG to measure and detect respiratory drive and effort in healthy volunteers.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
10
Inclusion Criteria
  • healthy volunteer
  • Age > 18 and < 60
  • Informed consent
  • Fasting
  • Subjects covered by or having the rights to medical care assurance
Exclusion Criteria
  • Obesity (BMI > 30 kg.m-2)
  • Respiratory disease
  • Cardiovascular disease
  • Contraindication to the insertion of a nasogastric tube
  • Incapacity to consent
  • Pregnancy, breastfeeding
  • Bad understanding of the French language,
  • Other protected person according to articles L1121.7 and L1121.8 of the French Public Health Act.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
SV - R / PSV / SV + Rnon-invasive ventilation with or without resistanceSpontaneous ventilation without resistance / Pressure support ventilation / Spontaneous ventilation with resistance
SV + R / SV - R / PSVnon-invasive ventilation with or without resistanceSpontaneous ventilation with resistance / Spontaneous ventilation without resistance / Pressure support ventilation
SV - R / SV + R / PSVnon-invasive ventilation with or without resistanceSpontaneous ventilation without resistance (SV - R) / Spontaneous ventilation with resistance (SV + R) / Pressure support ventilation (PSV)
SV + R / PSV / SV - Rnon-invasive ventilation with or without resistanceSpontaneous ventilation with resistance / Pressure support ventilation / Spontaneous ventilation without resistance
PSV / SV + R / SV - Rnon-invasive ventilation with or without resistancePressure support ventilation / Spontaneous ventilation with resistance / Spontaneous ventilation without resistance
PSV / SV - R / SV + Rnon-invasive ventilation with or without resistancePressure support ventilation / Spontaneous ventilation without resistance / Spontaneous ventilation with resistance
Primary Outcome Measures
NameTimeMethod
Accuracy of sMMG to detect respiratory effort5 minutes after the beginning of recording

Delays between the beginning of the respiratory effort detected by sMMG and Eadi and the end of the respiratory effort detected by sMMG and Eadi (msec)

Secondary Outcome Measures
NameTimeMethod
Comparison between sMMG slope & Eadi parameters5 minutes after the beginning of recording

Accuracy of sMMG to assess the intensity of respiratory drive (in comparison with Eadi in microvolt)

Comparison between sMMG-time (MMG-TP) and PTPes-Pes Peak5 minutes after the beginning of recording

Accuracy of sMMG to assess the intensity of respiratory effort (in comparison with pressure-time product in cm H2O.s.min-1)

Comparison between sMMG slope & slope Peso5 minutes after the beginning of recording

Accuracy of sMMG to assess the intensity of respiratory drive (in comparison Peso in cm H20)

Delay between neural time measured by sMMG and neural time measured by Eadi5 minutes after the beginning of recording

Accuracy of sMMG to assess the duration of inspiratory neural time (in comparison with Eadi in msec)

Trial Locations

Locations (1)

Angers University Hospital

🇫🇷

Angers, France

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