Comparison Between IMV and SIMV/PS for Ventilatory Support of Children: a Randomized Clinical Trial

NCT ID: NCT00549809

Last Updated: 2008-07-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-10-31

Study Completion Date

2007-06-30

Brief Summary

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Objectives: to compare intermittent mandatory ventilation (IMV) with synchronous intermittent mandatory ventilation associated with pressure support (SIMV/PS) related to duration of mechanical ventilation/weaning and length of stay in PICU (LS). Design: randomized clinical trial. Setting: Pediatric intensive care unit at a university-affiliated hospital.

Detailed Description

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Objectives: to compare intermittent mandatory ventilation (IMV) with synchronous intermittent mandatory ventilation associated with pressure support (SIMV/PS) related to duration of mechanical ventilation/weaning and length of stay in PICU (LS). Design: randomized clinical trial. Setting: Pediatric intensive care unit at a university-affiliated hospital. Patients: children between 28 days and 4 years old, admitted between 10/2002 and 06/2004, and receiving mechanical ventilation (MV) for more than 48 hours. Patients were randomly assigned into two groups: IMV (IMVG; n=35) and SIMV/PS (SIMVG; n=35). Children with acute respiratory distress syndrome and tracheostomy were excluded. Ventilation and oxygenation data were recorded at admission and beginning of weaning. Results: Groups were not statistically different for age, gender, MV indications, PRISM score, COMFORT scale, sedatives, and ventilation and oxygenation parameters. Median of MV duration was 5 days for both groups (p\>0.05). Also, there were no statistical differences for duration of weaning \[IMVG: 1 day (1 - 6) vs. SIMVG: 1 day (1 - 6); p\>0.05\] and LS \[IMVG: 8 days (2 - 22) vs. SIMVG: 6 days (3 - 20); p\>0.05\]. Conclusion: There was no statistically significant difference between IMV and SIMV/PS in these children related to MV and weaning duration, and PICU length of stay.

Conditions

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Respiratory Failure

Keywords

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mechanical ventilation; respiratory failure

Study Design

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Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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IMV, SIMV

Group Type ACTIVE_COMPARATOR

Intermittent mandatory ventilation (IMV) and synchronous IMV

Intervention Type PROCEDURE

Patients divided to receive two different modes of mechanical ventilation.

Interventions

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Intermittent mandatory ventilation (IMV) and synchronous IMV

Patients divided to receive two different modes of mechanical ventilation.

Intervention Type PROCEDURE

Other Intervention Names

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IMV (intermittent mandatory ventilation) SIMV (synchronous intermittent mandatory ventilation)

Eligibility Criteria

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Inclusion Criteria

* Children aged between 28 days and four years, who were consecutively admitted to the PICU and required MV for more than 48h were included.

Exclusion Criteria

* Children who had chronic respiratory failure, tracheostomy, those transferred from the hospital, or died were excluded as were patients with acute respiratory distress syndrome (ARDS).
Minimum Eligible Age

28 Days

Maximum Eligible Age

4 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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UPECLIN HC FM Botucatu Unesp

OTHER

Sponsor Role lead

Responsible Party

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UNESP - Botucatu Medical School

Principal Investigators

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Jose R Fioretto, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

UNESP - Botucatu Medical School

Locations

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Jose Roberto Fioretto

Botucatu, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Moraes MA, Bonatto RC, Carpi MF, Ricchetti SM, Padovani CR, Fioretto JR. Comparison between intermittent mandatory ventilation and synchronized intermittent mandatory ventilation with pressure support in children. J Pediatr (Rio J). 2009 Jan-Feb;85(1):15-20. doi: 10.2223/JPED.1849. Epub 2008 Nov 6. English, Portuguese.

Reference Type DERIVED
PMID: 18989547 (View on PubMed)

Other Identifiers

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upeclin/HC/FMB-Unesp-04

Identifier Type: -

Identifier Source: org_study_id