Diaphragm Atrophy and Dysfunction in Mechanical Ventilation
NCT05211661 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 15
Last updated 2026-02-09
Summary
The gold standard of twitch transdiaphragmatic pressure recordings would ultimately clear the fog around the rate of development of Ventilator induced Diaphragm Dysfunction (VIDD) in mechanically ventilated patients over time.
Through measurements made even after mechanical ventilation (MV) it could be clarified to what extent patients recover from VIDD.
Paired with cortical stimulation and electromyographic recordings of diaphragm muscle potentials, it could be explored to what extent decreased diaphragm excitability due to long term MV contributes to VIDD on the level of motor cortex.
Against that background the present project aims at determining the rate of decline in diaphragm function, strength and control in patients undergoing MV (including measurements after extubation).
Conditions
- Diaphragm Issues
- Mechanical Ventilation Complication
- Respiratory Failure
- Intensive Care (ICU) Myopathy
Interventions
- DIAGNOSTIC_TEST
-
Respiratory Muscle Testing
Comprehensive assessment of respiratory muscle function. Comprehensive assessment of respiratory muscle function to the point of its invasive assessment with recordings of twitch transdiaphragmatic pressure in response to magnetic phrenic nerve stimulation and stimulation of the lower thoracic nerve roots.
Sponsors & Collaborators
-
RWTH Aachen University
lead OTHER
Principal Investigators
-
Michael Dreher, Professor · RWTH Aachen University Hospital
-
Jens Spiesshoefer, MD · RWTH Aachen University Hospital
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-10-10
- Primary Completion
- 2028-05-01
- Completion
- 2028-06-01
Countries
- Germany
Study Locations
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