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NCT05875883 | Not yet recruiting | Ventilator Lung


Phrenic Identification in the ICU
Sponsor:

Unity Health Toronto

Brief Summary:

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.

Condition or disease

Ventilator Lung

Ventilator-Induced Lung Injury

Diaphragm Disease

Phrenic Nerve

Phrenic Nerve Stimulation

Neck Anatomy

Ultrasound

Intervention/treatment

Neck ultrasound

Detailed Description:

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 : August 7, 2023
Estimated Primary Completion Date : December 4, 2023
Estimated Study Completion Date : December 4, 2023

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: No
Criteria
Inclusion Criteria
  • Age ≥ 18 years
  • Admitted to ICU
  • Exclusion Criteria
  • Patients with a cervical spine collar
  • Patients who refuse to participate in the study

  • Phrenic Identification in the ICU

    Location Details


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    Phrenic Identification in the ICU

    How to Participate

    Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

    Locations


    Not yet recruiting

    Canada, Ontario

    St. Michael's Hospital

    Toronto, Ontario, Canada, M5B 1W8

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