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The intention is to enroll a specific sample of intubated patients. To compare the effect of respiratory gas conditioning on lung deposition and considering the well-known influences of lung pathology on lung deposition, intubated patients with healthy lungs will be included. Postoperative neurosurgery ventilated patients respond perfectly to this criteria. A previous study including 17 postoperative neurosurgery patients was performed in 2013 with a perfect collaboration between the ICU and the Department of Neurosurgery and Anesthesiology.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Heated-humidifier left on during nebulization | Active Comparator |
| |
| Heated-humidifier turned off 30 minutes before nebulization | Active Comparator |
| |
| Use of a heat and moisture exchanger (HME) filter | Active Comparator |
| |
| Use of a dry ventilator circuit specific for aerosol therapy | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aerogen Solo® | Device | Aerosol particles are generated by a vibrating-mesh nebulizer specifically designed for mechanical ventilation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Quantity of aerosol deposition from the nebulizer reservoir to the subject. Measured by Planar scintigraphy. | % of the nominal dose. | 45 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pierre-François Laterre, MD, PhD | Cliniques universitaires Saint-Luc- Université Catholique de Louvain | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cliniques Universiataires Saint-Luc | Brussels | 1200 | Belgium |
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| Heated-humidified circuit | Device | It will be left on during the transfer and the nebulization in group 1 |
|
| Heated-humidified circuit | Device | It will be turned off 30 minutes before the nebulization (nebulization ended max 45 minutes after turning off the heated-humidifier). |
|
| Dry ventilator circuit specific for aerosol therapy | Device | Streamlined components, specific position for the nebulizer at 30 cm of a V-shaped Y piece |
|
| Conventional dry ventilator circuit with HME filter | Device | The nebulizer is placed between the filter and the endotracheal tube. |
|
| ID | Term |
|---|---|
| D000070642 | Brain Injuries, Traumatic |
| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |
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