NL-OMON46412
Recruiting
Not Applicable
Effect of positive transpulmonary pressures on intracranial pressure and cerebrovascular autoregulation in severe acute brain injury - Effect intrathoracic pressures on intracranial pressures
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- Radboud Universitair Medisch Centrum
- Enrollment
- 20
- Status
- Recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age \* 18 years
- •Severe TBI defined as Glasgow Coma Score 3\-8
- •Multimodal neuromonitoring, including at least intracranial pressure monitoring
- •Acute respiratory distress syndrome (ARDS, according to the Berlin definition)
Exclusion Criteria
- •\- Hemodynamic instability, despite fluid resuscitation and/or vasopressor use.
- •\- Pneumothorax in last 3 days before the start of the study
- •\- Signs and/or symptoms of brain herniation based on clinical symptoms and or CT cerebrum
- •\- Pregnancy
- •\- Status after decompressive craniectomy
- •\- During or after Penthotal coma
- •\- Unfavourable ventilator settings before start of the study (defined as plateau pressures \> 30 cm H2O, or FiO2 \> 60%)
- •\- Intracranial pressure \> 20 mmHg for at least 5 minutes, despite the use of ICP lowering treatment
- •\- Moribund (fixed pupils or signs of brainstem coning)
- •\- History of oesophageal surgery
Outcomes
Primary Outcomes
Not specified
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