Cerebral Oxygenation and Neurological Outcomes FOllowing CriticAL Illness
NCT02344043 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 116
Last updated 2016-11-28
Summary
Purpose of the Study Critical illness requiring life support affects over 150 000 people in Ontario every year. With aggressive support, the number of people who die from critical illness is decreasing. However, people who survive often have neurological problems. These neurological problems often include difficulties with memory, concentration, and attention. These problems are associated with poor quality of life among survivors of critical illness. The aim of this study is to identify the factors that contribute to these neurological deficits. Specifically, the investigators are testing whether changes in oxygen delivery to the brain during critical illness are related to both short- and long-term neurological complications.
Procedures involved in the Research When patients are diagnosed with a critical illness such as shock or respiratory failure, they are treated with intravenous fluids, medications to raise their blood pressure, and can be placed on a ventilator to assist with their breathing. They are observed in an intensive care unit (ICU). This research protocol does NOT interfere with the normal treatment of patients with critical illness. The procedure involved in this research protocol requires the placement of two stickers to either side of the patient's forehead, and information about oxygen delivery to the brain will be recorded. When the patient has recovered from the critical illness, they will be asked to perform several neurological tests. Some of these tests will be done with a pencil and paper, while others will use a robotic device to test arm movements, reaction time, and concentration.
Potential Harms, Risks or Discomforts:
This research study involves the placement of a sticker sensor to either side of the forehead. Rarely, patients may develop a rash to these electrodes. The investigators monitor patients very carefully for rashes, and if a rash is to occur, the sticker sensor will be removed. With regards to the neurological testing, rarely patients can have some mild muscle stiffness after moving their arms in the robot. The investigators do not expect any other further harms, risks, or discomforts.
Conditions
- Critical Illness
- Sepsis
- Delirium
- Respiratory Failure
Interventions
- DEVICE
-
Near infrared spectroscopy
This device uses near infrared spectroscopy to measure tissue oxygen levels (0-100%). The sensors are placed on the subjects' forehead to measure brain tissue oxygenation
Sponsors & Collaborators
-
Queen's University
lead OTHER
Principal Investigators
-
John G Boyd, MD, PhD · Queen's University
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-03-31
- Primary Completion
- 2016-09-30
- Completion
- 2016-09-30
Countries
- Canada
Study Locations
More Related Trials
-
Reversing Cerebral Oxygen Desaturations Greater That 10% of Baseline Values Using NIRS in the ICU
NCT01875055 ·Status: COMPLETED ·Phase: NA
-
Cerebral Oximetry in Single Lung Ventilation Thoracic Surgery
NCT01866657 ·Status: TERMINATED ·Phase: NA
-
Assessing Cerebrovascular Reactivity Based on Cerebral Oximetry: a Pilot Study
NCT01483495 ·Status: COMPLETED
-
Brain Oxygenation During Prehospital Anesthesia
NCT03948711 ·Status: COMPLETED
-
Depth of Sedation and Its Impact on Cerebrovascular Reactivity in Acute Respiratory Distress Syndrome: a Pilot Analysis
NCT05847634 ·Status: RECRUITING
-
Online Noninvasive Assessment of Human Brain Death and Deep Coma by Near-infrared Spectroscopy
NCT04623294 ·Status: UNKNOWN
-
Effects of Cerebral Oxygen Saturation on Neuropsychological Outcomes
NCT00151307 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
Brain Oxygenation During Prehospital Anesthesia: an Observational Study
NCT04144803 ·Status: UNKNOWN
-
Characterizing the cerebrovAscular Physiology of Optimal Mean Arterial Pressure Targeted Resuscitation
NCT03609333 ·Status: COMPLETED ·Phase: NA
-
Cerebral Oxygenation in Cardiac Arrest and Hypothermia
NCT01531426 ·Status: COMPLETED
-
Cerebral Oximetry and NIRS in Cardiac Arrest Patients
NCT03769740 ·Status: UNKNOWN
-
Magnetic Resonance Spectroscopy Studies of Acute Hypoxic and Hyperoxic Breathing in Healthy Volunteers
NCT03106376 ·Status: WITHDRAWN ·Phase: NA
-
Intensive Monitoring of Brain Injured Patients
NCT00163774 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Dispatch-Assisted Cardiopulmonary Resuscitation (CPR) Instructions
NCT00664443 ·Status: COMPLETED
-
Study of Regional Cerebral Oxygenation and Brain Blood Volume Changes During Carotid Endarterectomy Using the NeurOS System
NCT03981757 ·Status: WITHDRAWN ·Phase: NA
-
Out-of-hospital Cardiac Arrest (OHCA) Biomarkers
NCT03112486 ·Status: COMPLETED
-
Validation of Brain Oxygenation Monitor on Pediatric Patients
NCT00849940 ·Status: TERMINATED ·Phase: NA
-
Cerebral Circulation in Critically Ill Children
NCT03731104 ·Status: COMPLETED
-
Validation of Next Generation Cerebral and Tissue Oximeter
NCT03128372 ·Status: COMPLETED ·Phase: NA
-
Cerebral Near Infrared Spectroscopy in Out-of-Hospital Cardiac Arrest and Neurological Prognosis
NCT06972329 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
CONFOCAL-2 Interventional Pilot Study
NCT07296029 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Improving Decisions About CPR
NCT03287895 ·Status: COMPLETED ·Phase: NA
-
Pre-hospital Hypoxemia in Trauma Patients
NCT01074983 ·Status: COMPLETED
-
Impact of Breathing Maneuvers on the Oxygenation Supply of the Heart Assessed With MRI in Patients With Coronary Artery Disease
NCT02233634 ·Status: COMPLETED ·Phase: NA
-
The Physiology of Circulatory Arrest in Humans
NCT06130033 ·Status: RECRUITING