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Regional Distribution of Ventilation to Assess Respiratory Muscle Dysfunction (DREM)

C

Centre d'Investigation Clinique et Technologique 805

Status

Unknown

Conditions

Respiratory Failure
Diaphragmatic Paralysis
Neuromuscular Disorder

Study type

Observational

Funder types

Other

Identifiers

NCT01569217
11 003-CCP Ile de France XI
11.155 bis (Registry Identifier)

Details and patient eligibility

About

The aim of this study is to better discriminate respiratory muscle dysfunction by comparing the measurements of thoracoabdominal motion obtained by an optoelectronic recording and the conventional tests of respiratory muscle strength. The final objective is to better select in the future the patients who need more specific assessment of diaphragmatic function like "maximal transdiaphragmatic pressure" measurement and "phrenic nerve stimulation".

Full description

All patients which had suspected respiratory muscle dysfunction will have usual exploration of the respiratory muscles according to the clinician prescription. These explorations can include :

  • Lung volumes in seating and supine position
  • Maximal inspiratory and expiratory pressures
  • Maximal sniff pressures

And when diaphragmatic dysfunction is suspected :

  • Maximal transdiaphragmatic pressure
  • Phrenic nerve conduction

These patients will also beneficiate to the determination of volume variations of the upper rib cage, the lower rib cage and the abdominal compartments by using Opto-electronic plethysmography.

Enrollment

200 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • suspicion of respiratory muscle dysfunction
  • indication of diaphragm exploration

Exclusion criteria

  • acute respiratory failure

Trial design

200 participants in 2 patient groups

respiratory muscle dysfunction patients
Description:
Neuromuscular patients
diaphragmatic dysfunction
Description:
patients who present orthopnea, recruitment of accessory muscles, abdominal paradox, respiratory dysfunction or dyssynchronous movement

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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