Status:
COMPLETED
Time-motion-mode Ultrasound Diaphragm Measures in Patients With Acute Respiratory Distress in Emergency Department
Lead Sponsor:
Centre Hospitalier Universitaire de Nīmes
Conditions:
Respiratory Distress Syndrome, Adult
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
The main objective of this study is to show that "diaphragmatic excursion measures upon emergency admission" (CDA values) on patients with acute respiratory failure are predictive of the need to use m...
Detailed Description
The secondary objectives of this study are: A-determine a prognostic threshold for diaphragmatic excursion measures able to predict the use of mechanical ventilation (invasive or not) in the first fo...
Eligibility Criteria
Inclusion
- The patient has given informed consent (and signed the consent form) or, in case of an emergency situation, an investigator has committed to obtaining the consent of the patient as soon as his/her condition permits
- Patient affiliated with or beneficiary of a health insurance plan
- Acute Respiratory Distress (DRA) defined by: (1) respiratory rate \> 25 and/or signs of struggle and hypoxia AND (2) SpO2 values \< 90% and/or \[pH \< 7.35 and pCO2 \> 6 kPa (45 mm Hg)\]
- Breathing spontaneously (no ventilation)
Exclusion
- Patient currently participating in or having participated in another interventional study in the previous three months, or patient in an exclusion period determined by a previous study
- Patient under judicial protection or any kind of guardianship
- Refusal to sign the consent
- Patient pregnant, parturient, or lactating
- Neurological or neuromuscular disease modifying the operation of the diaphragm without any decompensation (Polyneuropathy, Lou Gehrig's disease, Myasthenia ...)
- Patient who received mechanical ventilation at home
- Patient who received treatment by mechanical ventilation during the pre-hospitalization care phase
- Patient admitted with respiratory failure requiring immediate installation of a mechanical ventilation and thus not allowing the performance of two ultrasound measurements
- Patient suffering from a pneumothorax
Key Trial Info
Start Date :
October 29 2014
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
September 30 2017
Estimated Enrollment :
104 Patients enrolled
Trial Details
Trial ID
NCT02273687
Start Date
October 29 2014
End Date
September 30 2017
Last Update
November 19 2025
Active Locations (2)
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1
CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, France, 30029
2
CH de Perpignan - Hôpital Saint Jean
Perpignan, France, 66046