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Impact of Respiratory Muscle Unloading on Respiratory Muscle Endurance
This study is currently recruiting participants.
Study NCT00415896   Information provided by Krankenhaus Kloster Grafschaft
First Received: December 22, 2006   No Changes Posted

December 22, 2006
December 22, 2006
December 2006
 
Endurance time
Same as current
No Changes Posted
PCO2, respiratory parameters
Same as current
 
Impact of Respiratory Muscle Unloading on Respiratory Muscle Endurance
Impact of Respiratory Muscle Unloading on Respiratory Muscle Endurance

This study investigates how different degrees of muscular unloading during mechanical ventilation impact endurance of succeeding spontaneous breathing trials

Liberation from mechanical ventilation in difficult to wean patients is best accomplished by intermittent spontaneous breathing trials (1). Optimal respiratory muscle rest in-between breathing trials however has never been investigated.

Using a crossover design, patients are to be ventilated with complete and partial respiratory muscle unloading for a period of ten hours respectively. Respiratory muscle activity is being monitored by oesophageal balloon technique using a commercially available System (Avea, Viasys, Conshohocken, PA, USA). Time of spontaneous breathing, respiratory- and ABG parameters are being determined to characterize the course of each spontaneous breathing trial.

References

1. Esteban, A., F. Frutos, M. J. Tobin, I. Alia, J. F. Solsona, I. Valverdu, R. Fernandez, M. A. de la Cal, S. Benito, R. Tomas, and et al. 1995. A comparison of four methods of weaning patients from mechanical ventilation. Spanish Lung Failure Collaborative Group. N Engl J Med 332(6):345-50.

 
Interventional
Treatment, Randomized, Single Blind, Active Control, Crossover Assignment, Efficacy Study
Chronic Respiratory Failure
Device: positive pressure ventilation
 
 

*   Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
 
Recruiting
10
June 2007
 

Inclusion Criteria:

  • hypercapnic respiratory failure

Exclusion Criteria:

  • upper Gi pathology
  • renal failure (creatinin > 2 mg/dl)
  • Sepsis or infection
  • age < 18 years
Both
18 Years and older
No
Contact: Dominic Dellweg, M.D. +49 2972 791 ext 1257 d.dellweg@fkkg.de
Contact: Dieter Koehler, M.D. Prof. +40 2972 791 ext 2500 d.koehler@fkkg.de
Germany
 
NCT00415896
 
FKKG3
Krankenhaus Kloster Grafschaft
 
Principal Investigator: Dominic Dellweg, M.D. FKKG
Study Chair: Dieter Koehler, M.D., Prof. FKKG
Krankenhaus Kloster Grafschaft
December 2006

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP