NCT04530760招募中不适用
Impact of Intraabdominal Hypertension on Microaspiration Incidence in Cirrhotic Patients
University Hospital, Lille2 个研究点 分布在 1 个国家目标入组 226 人开始时间: 2021年10月8日最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 226
- 试验地点
- 2
- 主要终点
- abundant microaspiration
研究概览
简要总结
The study aims to demonstrate the relationship between intra-abdominal hypertension (IAH) and abundant microaspirations in mechanically ventilated cirrhotic.
详细描述
Intra-abdominal pressure monitoring will be performed using intra-vesical pressure every 8 hour in the first 2 days of mechanical ventilation.
Micro aspiration is defined by pepsin or amylase positivity in trachea suction. Two groups will be compared : one with IAH , one without IAH.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 99 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •adult patients
- •Cirrhosis
- •intubation and mechanical ventilation
排除标准
- •pregnancy
- •oliguric patients
- •impossibility to measure intravesical pressure
结局指标
主要结局
abundant microaspiration
时间窗: 48 hours after inclusion
presence of pepsin or alpha amylase at significant level in at least 30% of tracheal aspirates
次要结局
- duration of mechanical ventilation(from intubation until day 28 or extubation)
- Incidence of ventilator associated pneumonia (VAP)(from intubation until day 28 or extubation)
- incidence of patients requiring renal replacement therapy(from ICU admission until Day 28 or ICu discharge, whichever came first)
- incidence of cirrhosis related complications(from ICU admission until Day 28 or ICU discharge, whichever came first)
- Mortality(from ICU admission until day 28)
研究者
研究点 (2)
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