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The Effect of Lateral Tilt on Ventilation Distribution in Lungs Assessed by Electrical Impedance Tomography

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StatusNot yet recruiting
Sponsors
Regional Hospital Liberec
Collaborators
Charles University, Czech Republic
University of Sao Paulo
Technology Agency of the Czech Republic

Keywords

Abstract

Prevention of lung inhomogeneity is an essential part of preventive strategy in neurocritical care, reducing the risks of secondary brain damage from hypoxemia, hypo/hypercapnia or pneumonia.

Description

In the monocentric, intervention, prospective, randomized study, the investigators will examine the effect of lateral tilting (routinely used in critical care) on the lung inhomogeneity that will be analyzed by electrical impedance tomography (EIT) in the unconscious patients with acute primary brain disease and artificial pulmonary ventilation. Two types of lateral tilting will be compared: manual positioning of body by nurse versus the bed tilting (15° lateral tilt, original company (LINET) and product brand name (Eleganza 5).

Dates

Last Verified: 05/31/2020
First Submitted: 01/08/2020
Estimated Enrollment Submitted: 01/16/2020
First Posted: 01/20/2020
Last Update Submitted: 06/09/2020
Last Update Posted: 06/10/2020
Actual Study Start Date: 06/30/2020
Estimated Primary Completion Date: 06/29/2023
Estimated Study Completion Date: 06/29/2023

Condition or disease

Lung Collapse

Intervention/treatment

Device: Lateral tilt bed

Other: Body positioning

Phase

-

Arm Groups

ArmIntervention/treatment
Experimental: Lateral tilt bed
Bed tilting (15° lateral tilt, original product brand name LINET Eleganza 5)
Device: Lateral tilt bed
15° lateral tilt, original product brand name LINET Eleganza 5
Experimental: Body positioning
Manual positioning of body by nurse.
Other: Body positioning
Manual positioning of body by nurse: left side, back, right side, using positioning pillows

Eligibility Criteria

Ages Eligible for Study 18 Years To 18 Years
Sexes Eligible for StudyAll
Accepts Healthy VolunteersYes
Criteria

Inclusion Criteria:

- Primary brain disease

- Hospitalization in Neurocenter, Neurointensive Care Unit

- Age>18 years

- Unconsciousness

- Artificial pulmonary ventilation

Exclusion Criteria:

- Intracranial hypertension

- History of primary lung disease

- The terminal stage of the disease

- Refractory hemodynamic instability

Outcome

Primary Outcome Measures

1. Atelectasis/collapse [up to 24 weeks]

Assessed by electrical impedance tomography (EIT) or chest x-ray (CXR) at end of observation period

Secondary Outcome Measures

1. Evaluating oxygenation parameters [up to 24 weeks]

Oxygen saturation

2. Evaluating hemodynamic parameters [up to 24 weeks]

Hemodynamic monitoring: stroke volume variation (SVV)

3. Cost effectiveness measurement between two groups [up to 24 weeks]

Therapeutic Intervention Scoring System (TISS)

4. Profiling pneumonia incidence [up to 24 weeks]

Pneumonia score

5. Comparing duration of stay in Neurocenter Neurointensive Care Unit [up to 24 weeks]

Days of hospitalization

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