Treatment of Spontaneous Hyperventilation With Remifentanil in Traumatic Brain Injury Patients
NCT04974060 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2021-07-29
Summary
Spontaneous hyperventilation is common in severe traumatic brain injury patients and correlates closely with poor outcomes. How to treat this pathological condition remain unsolved. Remifentanil is a frequently used short-acting opioid, has the potent side-effect of dose-dependent respiratory inhibition. Specifically, it prolongs the expiratory time only and does not influence the respiratory drive. Among the safety range, the investigators will determine an ideal dose of remifentanil to maintain PaCO2 between 35 to 45 mmHg. The investigators will monitor the cerebral blood flow of the middle cerebral artery and the internal carotid artery to validate cerebral perfusion improvement.
Conditions
- Hyperventilation
- Traumatic Brain Injury
Interventions
- DRUG
-
Remifentanil Injection
Dilute 2mg Remifentanil with normal saline to 50 ml (40ug/ml) and continuously intravenous infused at the doses of 0.02, 0.04, 0.06, and 0.08 μg/kg/min for each lasting 30 minutes.
Sponsors & Collaborators
-
Capital Medical University
lead OTHER
Principal Investigators
-
Jian-Xin Zhou, MD · Intensive Care Unit, Beijing Tiantan Hospital, Capital Medical University
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-06-01
- Primary Completion
- 2021-12-01
- Completion
- 2022-03-31
Countries
- China
Study Locations
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