Unity Health Toronto
This will be a prospective observational study where the investigator will scan patients' necks with an ultrasound and look for anatomical landmarks that may help identify the phrenic nerve.
Ventilator Lung
Ventilator-Induced Lung Injury
Diaphragm Disease
Phrenic Nerve
Phrenic Nerve Stimulation
Neck Anatomy
Ultrasound
Neck ultrasound
Patients under protective mechanical ventilation, an intervention that saves lives, may need sedation and paralyzing agents. However, sedation and paralyzing agents are associated with multiple complications, including diaphragm dysfunction. Several strategies have been proposed to reduce diaphram dysfunction. A novel approach is to stimulate the phrenic nerve, either transvenously or transcutaneously. Transvenous stimulation requires a catheter, which eventually is associated with increased risk of infection and thrombosis. In this scenario, transcutaneous phrenic nerve pacing is attractive but may be more susceptible to patients' anthropometric measures. The correlation between patients' anthropometric measures and the location of the phrenic has been poorly studied.
| Study Type : | OBSERVATIONAL |
| Estimated Enrollment : | 63 participants |
| Official Title : | Anatomical Landmarks for Identifying the Phrenic Nerve With Ultrasound in Intensive Care Unit |
| Actual Study Start Date : | 2023-08-07 |
| Estimated Primary Completion Date : | 2023-12-04 |
| Estimated Study Completion Date : | 2023-12-04 |
Information not available for Arms and Intervention/treatment
| Ages Eligible for Study: | 18 Years |
| Sexes Eligible for Study: | ALL |
| Accepts Healthy Volunteers: |
Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.
Not yet recruiting
St. Michael's Hospital
Toronto, Ontario, Canada, M5B 1W8