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| ID | Type | Description | Link |
|---|---|---|---|
| 2019-A02622-55 | Other Identifier | ID-RCB number,ANSM |
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The study aims to demonstrate the relationship between intra-abdominal hypertension (IAH) and abundant microaspirations in mechanically ventilated cirrhotic.
Intra-abdominal pressure monitoring will be performed using intra-vesical pressure every 8 hour in the first 2 days of mechanical ventilation.
Micro aspiration is defined by pepsin or amylase positivity in trachea suction. Two groups will be compared : one with IAH , one without IAH.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| intraabdominal hypertension group | patients with intraabdominal hypertension defined as intravesical pressure more than 12 mmHg | ||
| control group | patients with no intraabdominal hypertension |
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| Measure | Description | Time Frame |
|---|---|---|
| abundant microaspiration | presence of pepsin or alpha amylase at significant level in at least 30% of tracheal aspirates | 48 hours after inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | number of death | from ICU admission until day 28 |
| Incidence of ventilator associated pneumonia (VAP) | percentage of patients with VAP |
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Inclusion Criteria:
Exclusion Criteria:
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cirrhotic patients receiving invasive mechanical ventilation
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Saad Nseir, MD,PhD | Contact | 0320444495 | +33 | saadalla.nseir@chru-lille.fr |
| Name | Affiliation | Role |
|---|---|---|
| Saad Nseir, MD,PhD | University Hospital, Lille | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hop Claude Huriez Chu Lille | Recruiting | Lille | 59037 | France |
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| ID | Term |
|---|---|
| D016638 | Critical Illness |
| D008103 | Liver Cirrhosis |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D008107 | Liver Diseases |
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| from intubation until day 28 or extubation |
| duration of mechanical ventilation | number of days with mechanical ventilation | from intubation until day 28 or extubation |
| incidence of patients requiring renal replacement therapy | percentage of patients with renal replacement treatment | from ICU admission until Day 28 or ICu discharge, whichever came first |
| incidence of cirrhosis related complications | percentage of patients with cirrhosis related complications | from ICU admission until Day 28 or ICU discharge, whichever came first |
| Hop Salengro - Hopital B | Recruiting | Lille | 59037 | France |
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| D004066 | Digestive System Diseases |
| D005355 | Fibrosis |