Acoustic Reflection Method and Work of Breathing (MAVAS)
|ClinicalTrials.gov Identifier: NCT00950443|
Recruitment Status : Terminated (No inclusion)
First Posted : July 31, 2009
Last Update Posted : December 29, 2011
Upper airway obstruction (UAO) is very common in children. Presently, the importance of the UAO is evaluated by the physician during an endoscopic evaluation under general anaesthesia.
The aim of the study is to evaluate two new techniques to quantify the importance of the UAO in children; the acoustic reflection method and the measurement of the work of breathing.
80 children will be included in this monocentric, prospective, open labelled study.
|Condition or disease||Intervention/treatment|
|Airway Obstruction||Device: Acoustic reflection method Device: Acoustic method and breathing/endoscopic evaluation|
The following evaluations will be performed the day prior to the endoscopic evaluation :1) calculation of a clinical score based on the diurnal and nocturnal respiratory and nutritional tolerance of the UAO, 2) evaluation of the importance and the localisation of the UAO assessed by the acoustic reflection method, 3) measurement of the work of breathing, 4) recording of nocturnal gas exchange during at least 6 hours by s single monitor (Sentec™) which measures pulse oximetry (SaO2) and transcutaneous carbon dioxide (PtcCO2), and evaluation of sleep quality by actigraphy (recording of patient's movements by an Actiwatch™).
All the patients will be re-assessed after 3 months. If no treatment is required, a second clinical evaluation with an acoustic reflection examination will be performed. If a surgical treatment or a noninvasive positive pressure ventilation will be necessary, a second complete evaluation will be performed with an endoscopic examination, the calculation of the clinical score, an acoustic reflection examination, the measurement of the work of breathing, and the recording of the nocturnal gas exchange and sleep quality. This second endoscopic examination will be performed only for medical purpose and not for research only.
The study will last 24 months, comprising 21 months for the inclusion of the patients and 3 months for the analysis of the data.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||38 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Acoustic Reflection Method and Work of Breathing : Two New Methods to Measure Children's Upper Airway Obstruction|
|Study Start Date :||December 2009|
|Primary Completion Date :||May 2011|
|Study Completion Date :||November 2011|
Children with upper airway obstruction
Device: Acoustic method and breathing/endoscopic evaluation
Endoscopic evaluation done under general anaesthesia.
Active Comparator: 2
Children without upper airway obstruction
Device: Acoustic reflection method
Acoustic reflection gives the longitudinal cross-sectional area profile along airway.Based on planar acoustic wave propagating in a rigid duct connected to airway.
- To compare the importance and the localisation of the UAO assessed by the acoustic reflection method and by the endoscopic evaluation under general anaesthesia [ Time Frame: At the inclusion visit ]
- To evaluate the feasibility of the acoustic method for the evaluation of UAO in children [ Time Frame: At the inclusion visit ]
- To compare the importance and the localisation of the UAO assessed by the acoustic reflection method with the respiratory (during sleep and wakefulness) and nutritional consequences of the UAO [ Time Frame: At the inclusion visit ]
- To compare the importance of the UAO assessed by the acoustic reflection method with the measurements of the work of breathing [ Time Frame: At the inclusion visit ]
- To compare the importance and the localisation of the UAO assessed by the acoustic reflection method with the results of a high resolution computed tomography scan of the upper airways if done for the medical reasons [ Time Frame: At the inclusion visit ]
- To correlate the importance and the localisation of the UAO assessed by the acoustic reflection method with the outcome of surgery if required [ Time Frame: At the inclusion and 3 months visits ]
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00950443
|Hospital Armand Trousseau, Pediatric Pulmonology department and ENT department|
|Paris, France, 75020|
|Principal Investigator:||Nicolas LEBOULANGER, MD||Assistance Publique - Hôpitaux de Paris|