Intermediate Normal Versus High Normal Oxygen Levels in the Emergency Department for Severe Traumatic Brain Injury
NCT05464277 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1
Last updated 2024-07-16
Summary
Despite almost universal usage of supplemental oxygen therapy in patients presenting in the emergency department with traumatic brain injury (TBI), optimal oxygen levels are unclear.
The investigators propose a pilot multi-center randomized controlled trial to test the hypothesis that maintaining intermediate normal as opposed to high normal oxygen levels in patients presenting in the emergency department with TBI is feasible, and to obtain preliminary data on the efficacy of the two approaches to oxygen therapy. The aim is that the investigators produce pilot data, which could inform the design of potential subsequent larger clinical trials.
Conditions
- Traumatic Brain Injury
- Acute Respiratory Failure
- Acute Respiratory Distress Syndrome
- Acute Brain Injury
Interventions
- OTHER
-
Oxygen
Oxygen to achieve assigned SpO2 (or FiO2) targets will be administered to study subjects. The treating clinician can alter oxygenation targets at any time if deemed necessary. The oxygenation goal will be based on SpO2 rather than arterial oxygen saturation (SaO2) or arterial pressure oxygen (PaO2) from arterial blood gases. However, PaO2 can be used instead in situations where the treating clinician considers that peripheral perfusion is poor or SpO2 readings are unreliable. Assigned SpO2 targets will apply to the study subjects for a total duration of 6 hours from intubation or until death or until transfer to the operating theater (whatever comes first).
Sponsors & Collaborators
-
Evangelismos Hospital
lead OTHER
Principal Investigators
-
Ilias I Siempos, MD, DSc · Evangelismos Hospital, Athens, Greece
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-12-02
- Primary Completion
- 2024-07-14
- Completion
- 2024-07-14
Countries
- Greece
Study Locations
More Related Trials
-
Ketamine for Sedation in Severe Traumatic Brain Injury
NCT06429657 ·Status: SUSPENDED ·Phase: PHASE4
-
The Effects of Hyperbaric Oxygen on Non-acute Traumatic Brain Injury
NCT05387018 ·Status: COMPLETED
-
The Safety and the Efficiency of Hyperbaric Oxygen in Traumatic Brain Injury
NCT06816199 ·Status: RECRUITING
-
Prehospital Norepinephrine and Early Mortality in Traumatic Shock
NCT04497155 ·Status: COMPLETED
-
Brain Tissue Oxygen Monitoring in Traumatic Brain Injury (TBI)
NCT00974259 ·Status: COMPLETED ·Phase: PHASE2
-
Normobaric Hyperoxia for Intracerebral Hemorrhage
NCT04144868 ·Status: COMPLETED ·Phase: PHASE2
-
Management and Outcomes Following Emergency Surgery for Traumatic Brain Injury
NCT04212754 ·Status: UNKNOWN
-
Prioritization of Cerebral Deoxygenation in Severe Traumatic Brain Injury and Mortality Benefit.
NCT06306950 ·Status: COMPLETED ·Phase: NA
-
Hypothermia in Children After Trauma
NCT00222742 ·Status: TERMINATED ·Phase: PHASE3
-
Mannitol vs HS to Treat ICHT After Severe TBI : Comparison on PtiO2 and Microdialysis Values
NCT01028339 ·Status: TERMINATED ·Phase: PHASE3
-
Macro- and Microcirculation Crosstalk in Brain-damaged Patients Under Anesthesia or in Intensive Care
NCT05285514 ·Status: UNKNOWN
-
Efficacy of Bromocriptine For Fever Reduction in Acute Neurologic Injury
NCT03496545 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Hypothermia to Treat Severe Brain Injury
NCT00040339 ·Status: COMPLETED ·Phase: NA
-
Aerosolized Endotracheal Lidocaine to Avoid Intracranial Pressure Spikes in Patients With Severe Traumatic Brain Injury
NCT05058677 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Hypothermia Upon Outcomes After Acute Traumatic Brain Injury
NCT00178711 ·Status: TERMINATED ·Phase: PHASE3
-
High Concentration Oxygen Therapy for Pneumocephalus in Chronic Subdural Haematoma: A Prospective Observational Study
NCT05143216 ·Status: UNKNOWN
-
Impact of Inspired Oxygen Fraction on Outcome in Patients With Traumatic Brain Injury
NCT01201291 ·Status: TERMINATED ·Phase: NA
-
Study of PbiO2 Variation by Body Temperature and Capnia in Severe Head Trauma Patients Treated With Targeted Temperature Control
NCT04109430 ·Status: UNKNOWN
-
Controlling Hyperadrenergic Activity in Neurologic Injury
NCT01343329 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
Sevoflurane Sedation on Intra Cranial Pressure in Traumatic Brain Injury Patients
NCT01374633 ·Status: TERMINATED ·Phase: PHASE2
-
Study of Cerebral Tissue Oxygenation During Transfusion in Traumatic Brain Injury
NCT01728831 ·Status: COMPLETED
-
Effect of Intrathoracic Pressure Regulation on Traumatic Brain Injury
NCT01824589 ·Status: TERMINATED ·Phase: PHASE4
-
Cerebral Oxymetry in Traumatic Brain Injury
NCT01940861 ·Status: UNKNOWN
-
Hyperbaric Oxygen Therapy and SPECT Brain Imaging in Traumatic Brain Injury
NCT00594503 ·Status: UNKNOWN ·Phase: PHASE1
-
Ketamine in Severe Traumatic Brain Injury
NCT06062628 ·Status: RECRUITING ·Phase: EARLY_PHASE1