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ow dose muscle relaxans to improve mechanical ventilatio

Phase 1
Conditions
Some patients develop high respiratory drive during partially supported mechanical ventilation which is associated with lung and diaphragm injury and worse clinical outcome
Therapeutic area: Diseases [C] - Respiratory Tract Diseases [C08]
Registration Number
EUCTR2018-000748-24-NL
Lead Sponsor
VUmc
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
30
Inclusion Criteria

Patients are eligible for inclusion if they meet all of the following
criteria:
- high respiratory drive, defined as tidal volume > 8ml/kg PBW on
inspiratory support of 12cmH2O.
- sedation level: RASS = -3
- ventilated in pressure support mode
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 15
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 15

Exclusion Criteria

A potential subject who meets any of the following criteria will be
excluded from participation in this study:
- recent use of NMBA (< 2 hrs)
- arterial pH < 7.25
- hemodynamic instability, i.e. high dose vasopressors (>0.5 µg/kg/min)
or inotropes (dobutamine >15 µg/kg/min or enoximone >25
µg/kg/min)
- intracranial pressure > 20 cmH2O
- past medical history of neuromuscular disorders
- pregnancy
- known previous anaphylactic reaction to NMBA's.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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