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| ID | Type | Description | Link |
|---|---|---|---|
| No financial support |
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The hypothesis is that brain injury patients have alterations of the respiratory system related to intraabdominal pressure. Furthermore application of moderate levels of PEEP may improve respiratory function in these patients.
We investigate the mechanical properties of the respiratory system, partitioned into its lung and chest wall components, the functional residual capacity, the gas-exchange and alveolar recruitment in brain injured patients.
The measurements will be performed under sedation at different levels of PEEP. The following groups will be included: a) control patients withot lung injury and brain injury; b) brain injured patients without lung injury within the first 72 hours; c) brain injured patients without lung injury after 72 hours; d) brain injured patients with lung injury. Brain injury was defined as primary or secondary. Respiratory functional data will be related to intra-abdominal pressure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Active Comparator | Patients without lung injury and brain injury |
|
| Brain No ALI 1 | Experimental | Patients with brain injury and no lung injury within 72 hours from ICU entry |
|
| Brain No ALI 2 | Experimental | Patients with brain injury and no ALI after 72 hours from ICU entry |
|
| Brain ALI | Experimental | Patients with brain injury and Acute Lung Injury (ALI) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PEEP | Other | Application of positive end expiratory pressure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Improvement of respiratory function with PEEP | 30 min |
| Measure | Description | Time Frame |
|---|---|---|
| Relations of respiratory mechanics (lung and chest wall) with intraabdominal pressure | 30 min |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Paolo Pelosi, MD | Contact | 0039-0332-278801 | ppelosi@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Paolo Pelosi, MD | University of Insubria, Varese | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ospedale di Circolo e Fondazione Macchi | Recruiting | Varese | Varese | 21100 | Italy |
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| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| D055371 | Acute Lung Injury |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
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| PEEP | Other | Application of positive end-expiratory pressure |
|
|
| PEEP | Other | Application of positive end-expiratory pressure |
|
|
| PEEP | Other | Application of positive end-expiratory pressure |
|
|
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
| D055370 | Lung Injury |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |