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Clinical Trials/NL-OMON46412
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

Radboud Universitair Medisch Centrum0 sites20 target enrollmentTBD

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.

Registry
who.int
Start Date
TBD
End Date
TBD
Last Updated
2 years ago
Study Type
Interventional

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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