Health Condition 1: S062- Diffuse traumatic brain injury
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of either sex between 18 to 65 yrs of age with isolated traumatic brain injury admitted to the neurotrauma ICU who will be mechanically ventilated
Exclusion criteria
Exclusion criteria: Pregnancy, body mass index greater than 35 kg per meter square, pre existing neuromuscular disease or use of corticosteroids or antibiotic such as aminoglycosides, chronic renal insufficiency, pre existing lung injury, autoimmune diseases, bone and spine fractures, skin lesions at evaluation site, clinical suspicion of brain death, use of neuromuscular blockers during ICU stay.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of correlation between ultrasound based diaphragm thickness fraction (DTF) at 72 hours and weaning duration in TBI patients requiring mechanical ventilationTimepoint: At 72 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of the prevalence and progression of diaphragm weakness bt measuring diaphragmatic thickness fraction (DTF) and diaphragmatic excursion (DE) on day of ICU admission and then serially on day 3,5 and 7 or at discharge whichever is early.Timepoint: On day 0,3,5,7 or at discharge, whichever is early;Assessment of peripheral muscle thickness in quadriceps femoris and biceps brachii muscle on the day of ICU admission and then serially on day 3,5 and 7 or at discharge whichever is earlyTimepoint: On day 0,3,5,7 or at discharge, whichever is early;Correlation between trends of USG based diaphragmatic thickness and USG based peripheral muscle thicknessTimepoint: ;Duration of weaning from ventilator- defined as time taken from the start of weaning trials to successful removal from mechanical ventilation for 24 hours.Timepoint: ;Duration of ICU and hospital stayTimepoint: | — |
Countries
India
Contacts
Postgraduate Institute of Medical Education and Research