Traumatic Brain Injury
Conditions
Brief summary
Brain trauma is an important burden in traumatologic intensive care. In these patients the treatment is guided by a cluster of multimodal monitoring parameters. Despite this it is difficult to assess the actual physiopathologic status of the brain. Changing the position of these patients (semi-seated to lying position) causes changes in the hémodynamics brain conditions, so in monitoring parameters . The analysis of these changes can givr us valuable clinically informations.
Detailed description
Severe brain trauma (CGS \< 8 ) are included. PIC, PA, PVC, EKG, airway pressure, SjO2 and NIRSS are continuously monitored. The patients are in semi seated (30°) position. Once a day they are in supine (0°) for 30 minutes. We record every parameters before and at the end of this supine period. After time domain and frequency domain signal processing, this parameters are compared to deduct clinical relevant conclusions.
Interventions
OTHERChange from semi-seated position to supine
from semi-seated position (30°) to lying position
Sponsors
University Hospital, Montpellier
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients with a severe head trauma estimated by the Glasgow Coma Scale and by the Glasgow Outcome Scale * age \> 18
Exclusion criteria
* Other neurological pathology
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ASSESSMENT OF THE CEREBRAL OXYGENATION | UP TO 6 MONTHS |
Countries
France
Contacts
Primary ContactJean Paul ROUSTAN, MD
Outcome results
None listed