Comparison of Low and High Tidal Volumes in Acute Spinal Cord Injury
NCT04912583 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 31
Last updated 2025-07-15
Summary
Objective: This study's primary objective is to evaluate the efficacy and feasibility of mechanical ventilation with high vs. low tidal volume (Vt) in people with acute spinal cord injury (SCI). Secondary objectives include a comparison of inflammatory markers between these groups.
Study Design: Randomized comparative effectiveness trial
Methods: Study population: Adults with acute traumatic SCI on mechanical ventilation (MV). Subjects will be randomized to receive either a lower Vt of 8-10 cc/kg predicted body weight (pbw) or a high Vt of 14-16 ml/kg pbw.
Risks and potential Benefits: Risks of study interventions are similar to usual care as proposed tidal volume settings are within the current usual care range. However, people assigned to the lower tidal volume group may have a lower risk of pneumonia and respiratory complications.
Conditions
- Spinal Cord Injuries
Interventions
- DEVICE
-
High tidal volume
A high tidal volume (14-16 ml/kg pbw) with positive end-expiratory pressure will be applied during mechanical ventilation.
- DEVICE
-
Low tidal volume
A low tidal volume (8-10 ml/kg pbw) with positive end-expiratory pressure will be applied during mechanical ventilation.
Sponsors & Collaborators
-
TIRR Memorial Hermann
collaborator OTHER -
Craig Hospital
collaborator OTHER -
National Center for Advancing Translational Sciences (NCATS)
collaborator NIH -
The Craig H. Neilsen Foundation
collaborator OTHER -
The University of Texas Health Science Center, Houston
lead OTHER
Principal Investigators
-
Radha Korupolu, MD · McGovern Medical School, The University of Texas Health Science Center at Houston
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-12-17
- Primary Completion
- 2024-06-27
- Completion
- 2024-06-27
- FDA Device
- Yes
Countries
- United States
Study Locations
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