Esophageal Balloon Guided Weaning of the Morbidly Obese Patient
NCT02323009 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 25
Last updated 2014-12-23
Summary
This is a study to evaluate whether PEEP adjusted by use of an esophageal balloon to overcome negative transpulmonary pressure; or adjusted by use of "CStat" to achieve the best effective static compliance will have any effect on outcomes with respect to ventilator weaning in tracheotomized morbidly obese patients (BMI \>=40) with at least one failed prior weaning attempt.
Conditions
- Morbid Obesity
Interventions
- DEVICE
-
Esophageal Balloon
Esophageal balloon was used to measure esophageal pressure (Paux) which was used as an estimate of pleural pressure. Transpulmonary pressure (Ptp) was calculated as the difference between airway pressure (Pao) and Paux. Applied PEEP was then adjusted to overcome negative Ptp which we maintained between 0 to 10 cm H20. All measurements were made at end-expiration.
- OTHER
-
Cstat
PEEP was adjusted to achieve the best CStat in this group of patients
Sponsors & Collaborators
-
East Carolina University
lead OTHER
Principal Investigators
-
Robert Shaw, MD · East Carolina University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-01-31
- Primary Completion
- 2013-10-31
- Completion
- 2013-11-30
Countries
- United States
Study Locations
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