Brain Injuries, Traumatic
Conditions
Brief summary
The intention is to enroll a specific sample of intubated patients. To compare the effect of respiratory gas conditioning on lung deposition and considering the well-known influences of lung pathology on lung deposition, intubated patients with healthy lungs will be included. Postoperative neurosurgery ventilated patients respond perfectly to this criteria. A previous study including 17 postoperative neurosurgery patients was performed in 2013 with a perfect collaboration between the ICU and the Department of Neurosurgery and Anesthesiology.
Interventions
Aerosol particles are generated by a vibrating-mesh nebulizer specifically designed for mechanical ventilation
It will be left on during the transfer and the nebulization in group 1
Streamlined components, specific position for the nebulizer at 30 cm of a V-shaped Y piece
The nebulizer is placed between the filter and the endotracheal tube.
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged 18 years or older * Postoperative neurosurgery intubated patients admitted for brain neurosurgery in the ICU (Intensive care neuro-traumatologic and Toxicologic)- With a healthy lung function. * Signed and dated informed consent should be obtained in accordance of local regulations.
Exclusion criteria
* Spine neurosurgery * History of cardiovascular and pulmonary disease * Extubation immediately after surgery * Modification of the allocated humidification technique before or during the nebulization (heated-humidifier deficiency or safety concern) * Inaccurate quantification of aerosol deposition (i.e., artifacts or overlap of tracheal and pulmonary deposition).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quantity of aerosol deposition from the nebulizer reservoir to the subject. Measured by Planar scintigraphy. | 45 minutes | % of the nominal dose. |
Countries
Belgium