COVID-19 Infection: Exploration of Respiratory Control Center Abnormalities (CRC-COVID)

Assistance Publique - Hôpitaux de Paris

Status

Completed

Conditions

Neurological Complication

Covid19

Treatments

Other: hypoxia : 14.3 and 12.7% FIO2, hypercapnia 7% CO2, inspiratory mechanical constraint

Study type

Interventional

Funder types

Other

Identifiers

NCT04363749

APHP200476

Details and patient eligibility

About

The purpose of the present study is to determine whether there is a decrease in the emotional response to experimental induction of dyspnea by hypoxic stimulation in subjects with a "neurological" form of COVID-19, compared to healthy controls.

Full description

SARS CoV-2 infection causes lung damage that can be severe enough to require artificial ventilation. Clinicians taking care of these patients are surprised by the scant respiratory sensations and emotional responses described by patients. This attenuation of respiratory interoception deprives clinicians of the usual warning signs during respiratory decompensation of dyspnea and its aggravation. It may be the result of central nerve damage. This hypothesis is bolstered by the observation that within the multiple clinical forms of COVID-19 infection there are some "neurological" forms (headache, anosmia, agueusia, dizziness, without respiratory signs and with little or no fever), that are most likely the consequence of olfactory penetration of the virus into the central nervous system (mechanism described for SARS CoV-1).

Enrollment

50 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

- adult (≥ 18 years old, unprotected);
for COVID-19 + patients: COVID-19 + diagnosis; with quantitative or qualitative anomalies in taste and smell; first symptoms appeared in less than 21 days
for healthy subjects: have never presented any sign of COVID ; confirmed by recent negative serology
understanding French;
affiliated to social security;
having a BMI between 20 and 30;
preferably non-smokers and in the event of recruitment difficulties, smokers but with smoking <5 packs - year
signature of the informed consent form

Exclusion criteria

respiratory signs or symptoms (rhinitis, cough, shortness of breath at rest);
temperature above 37.5 ° C;
existence of a chronic respiratory pathology (including asthma and COPD in the first row);
pregnant women ;
protected minors and adults, persons deprived of their liberty;
not affiliated to a social security (including AME);
contraindication to MRI (pace maker, intracranial implants, etc.).