Unique ID issued by UMIN | UMIN000019510 |
---|---|
Receipt number | R000022529 |
Scientific Title | The safety of therapeutic hypothermia for acute encephalitis / encephalopathy among pediatric patients |
Date of disclosure of the study information | 2015/10/27 |
Last modified on | 2018/04/29 11:21:42 |
The safety of therapeutic hypothermia for acute encephalitis / encephalopathy among pediatric patients
The safety of therapeutic hypothermia for acute encephalitis / encephalopathy among pediatric patients
The safety of therapeutic hypothermia for acute encephalitis / encephalopathy among pediatric patients
The safety of therapeutic hypothermia for acute encephalitis / encephalopathy among pediatric patients
Japan |
Acute encephalitis and encephalopathy among pediatric patients
Pediatrics | Intensive care medicine |
Others
NO
To investigate if therapeutic hypothermia could be done as safely for acute encephalitis / encephalopathy of pediatric patients as that for another conditions.
Safety
If there occur any medical condition for which therapeutic hypothermia must be discontinued.
If there are seen more labo data, clinical signs, or monitored signs, that represent complications such as coagulopathy, infection, or worsened general conditions.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Device,equipment | Maneuver |
Therapeutic hypothermia (34 degree Celsius for 72 hours, followed by 48 hours of warming) using cooling pads.
Not applicable |
18 | years-old | > |
Male and Female
Pediatric patients less than 18 years old, who are diagnosed as acute encephalitis / encephalopathy, with no improvement or progressive worsening.
Acute encephalitis / encephalopathy would be diagnosed,when any findings as below are seen with no improvement within 3 hours:
1) acutely and moderately worsened consciousness level with JCS (Japan Coma Scale) more than 20,
2) mildly worsened consciousness level with JCS more than 10 lasting more than 24 hours,
3) accompanied with abnormal findings on head CT or head MRI, or
4) accompanied with abnormal EEG findings
Because coagulopathy are common during hypothermia,
(1-1) Intracranial hemorrhage was seen on head CT or MRI,
(1-2) Hemorrhagic diathesis, or
(1-3) thrombocytopenia less than 50,000/mm3.
Because immunosuppression are common during hypothermia,
(2-1) Congenital immunologic disability (SCID, a-gamma-globurinemia, chronic granulomatous disease, et.al).
Because circulation are easily suppressed during hypothermia,
(3-1) Cardiac disease or arrhythmia, which need medication.
(3-2) Decreased cardiac contractility (LVEF < 40% on echocardiogram)
(3-3) Normal blood pressure is not maintainable even with catecholamines or vasopressors.
Because this study needs informed consent from legal representatives,
(4-1) When legal representatives denied to be participated,
(4-2) When child abuse is strongly suspected,
Or whenever the regarding physicians thought the patient is not suitable for this study.
30
1st name | |
Middle name | |
Last name | Atsushi Numaguchi |
Nagoya University Hospital
Department of emergency and critical care medicine
65 Tsurumai-Cho, Showa-Ku, Nagoya City
052-744-2659
nummer@med.nagoya-u.ac.jp
1st name | |
Middle name | |
Last name | Atsushi Numaguchi |
Nagoya University Hospital
Department of Emergency and Critical Care Medicine
65 Tsurumai-Cho, Showa-Ku, Nagoya City
052-744-2659
nummer@med.nagoya-u.ac.jp
Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine
Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine
Other
NO
2015 | Year | 10 | Month | 27 | Day |
Unpublished
Enrolling by invitation
2015 | Year | 04 | Month | 01 | Day |
2015 | Year | 04 | Month | 01 | Day |
2015 | Year | 10 | Month | 27 | Day |
2018 | Year | 04 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022529