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临床试验/NL-OMON46412
NL-OMON46412招募中不适用

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 个研究点目标入组 20 人开始时间: 待定最近更新:

试验速览

阶段
不适用
状态
招募中
入组人数
20

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • 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)

排除标准

  • - 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

研究者

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