J80 J96.1 Z93.0 J18.9
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients requiring long-term invasive ventilation and needing flexible tracheostomy under sedation, or 2) short-term mechanical ventilation (sedation with a laryngeal mask) as part of a planned routine tracheostomy, are eligible for inclusion in the study.
Exclusion criteria
Exclusion criteria: 1) Patients receiving palliative care 2) Lack of parental consent 3) Contraindications to performing the EIT measurement as per the approval (e.g., an implanted pacemaker) or the inability to perform the EIT measurement on the chest due to wound dressings or implanted drains.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The demonstration of a significant change in regional ventilation distribution (non-normally distributed dataset) between timepoints before (T0), and after (T2) flexible TB will be evaluated using EIT based on predefined indices. Significant changes are expected for: Center of Ventilation (horizontal): significant change in median CoV from T0 to T1, from T1 to T2, and from T0 to T2 Center of Ventilation (vertical): significant change in median CoV from T0 to T1, from T1 to T2, and from T0 to T2 Global Inhomogeneity Index: significant change in median GI index from T0 to T1, from T1 to T2, and from T0 to T2 End-expiratory lung impedance (EELI): significant change in median EELI from T0 to T1, from T1 to T2, and from T0 to T2 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Detection of a significant decrease in regional ventilation distribution during bronchoscopy (time point T1) (CoV, GI, EELI) | — |
Countries
Germany
Contacts
Uniklinik Bonn, Klinik für Neonatologie und Pädiatrische Intensivmedizin