Status:

TERMINATED

Effect of Intrathoracic Pressure Regulation on Traumatic Brain Injury

Lead Sponsor:

Advanced Circulatory Systems

Collaborating Sponsors:

U.S. Army Medical Research and Development Command

Conditions:

Head Injury

Eligibility:

All Genders

15+ years

Phase:

PHASE4

Brief Summary

The purpose of this study is to demonstrate proof of clinical concept that application of the Intrathoracic Pressure Regulator (ITPR) will result in an increase in Cerebral Perfusion Pressure (CPP) an...

Eligibility Criteria

Inclusion

  • ≥15 years of age
  • intubated and mechanically ventilated on a volume controlled mode
  • head injury or other intracranial pathology with ICP of ≥15 mmHg
  • arterial line in place
  • SpO2 ≥95%
  • MAP \>60
  • in ICU or about to undergo neurosurgery with planned placement of an ICP monitor
  • inclusion presents no significant delays to planned emergent neurosurgery
  • prior written informed consent

Exclusion

  • cardiac or pulmonary injury impacting intrathoracic pressure
  • confirmed pneumothorax or hemothorax
  • PaO2/FiO2 \<300
  • serious neck injury resulting in neck swelling with jugular venous compression
  • evidence of ongoing uncontrolled bleeding
  • respiratory disease such as COPD, interstitial lung disease, or other parenchymal or pulmonary vascular disease
  • congestive heart failure

Key Trial Info

Start Date :

August 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

Estimated Enrollment :

1 Patients enrolled

Trial Details

Trial ID

NCT01824589

Start Date

August 1 2012

Last Update

February 16 2015

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