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临床试验/NCT04103996
NCT04103996已完成不适用

Incidence, Risk Factors and Outcomes of Diaphragm Dysfunction After Lung Transplantation

University Health Network, Toronto1 个研究点 分布在 1 个国家目标入组 15 人开始时间: 2020年2月10日最近更新:
适应症

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

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)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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