JUgular Gating for Upright Level Adjustment and Targeted Enhancement of Cerebral Perfusion
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity Hospital, Bordeaux
About this trial
Investigators aim to demonstrate that the evolution of intracranial pressure (ICP) is nonlinear and may be influenced by jugular vein collapse. This collapse is estimated to occur at the angle where the hydrostatic pressure of the blood column matches the central venous pressure, and it can be assessed using ultrasonography. This approach allows for the determination of an individualized tilt angle, optimizing cerebral perfusion pressure without compromising venous drainage.
Eligibility criteria
Qualifiers
Patients ≥ 18 years old
Hospitalized in the neurocritical care unit or the trauma unit
Scheduled for nursing care requiring a supine position.
Arterial catheter allowing continuous measurement of mean arterial pressure.
Disqualifiers
Contraindication to trunk mobilization.
Being a minor or placed under supervision.
Hemodynamic or respiratory instability.
Uncontrolled intracranial hypertension, refractory arterial hypertension, or severe dysautonomia.
Trial design
Treatments tested in this trial
- Ultrasound assessment
Treatment groups
30 Participants
are divided into 1 treatment groupSponsors and collaborators
Source ClinicalTrials.gov