Evaluation of Variable Pressure Support Ventilation in the Therapy of Acute Lung Injury

NCT ID: NCT00786292

Last Updated: 2012-09-05

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

NA

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2012-09-30

Brief Summary

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Variable pressure support during assisted spontaneous breathing (noisy PSV) has been shown to improve the respiratory function in experimental acute lung injury (ALI). We aimed at comparing the effects of noisy PSV with traditional PSV on the respiratory function of patients suffering from ALI.

Detailed Description

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Conditions

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Acute Lung Injury

Study Design

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Primary Study Purpose

TREATMENT

Study Groups

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Noisy PSV

Assisted mechanical ventilation with noisy PSV

Group Type OTHER

Assisted mechanical ventilation

Intervention Type OTHER

Patients will be mechanically ventilated with noisy PSV and PSV in random sequence

PSV

Assisted mechanical ventilation with PSV

Group Type OTHER

Assisted mechanical ventilation

Intervention Type OTHER

Patients will be mechanically ventilated with noisy PSV and PSV in random sequence

Interventions

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Assisted mechanical ventilation

Patients will be mechanically ventilated with noisy PSV and PSV in random sequence

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* age 18 to 75 yrs
* 150 mmHg \< PaO2/FIO2 \< 300 mmHg
* mechanical ventilation with PSV or BIPAP
* less than 15 days of mechanical ventilation
* at least 20% of minute ventilation originated from spontaneous breathing

Exclusion Criteria

* BMI \> 35
* esophageal disease
* neuromuscular disease
* instable thorax
* pneumothorax
* head trauma
* brain injury
* increased intracranial pressure
* agitation
* increased need for vasoactive drugs
* chronic lung disease
* acute coronary disease
* participation in another clinical trial within the last 4 weeks at enrollment

Interruption criteria:

* acute change of mental status
* SaO2 \< 92%
* pHa \< 7.30
* respiratory rate \> 30 or \< 6 /min
* dyspnea
* diaphragm/thorax antagonism
* diaphoresis
* abnormal use of respiratory muscles
* increase of the heart rate above 120% of baseline or absolute value \< 60 or \> 130 /min
* mean arterial pressure above 120% of baseline or absolute value \< 70 or \> 110 mmHg
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Technische Universität Dresden

OTHER

Sponsor Role lead

Responsible Party

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PD Dr. Marcelo Gama de Abreu

Prof. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Marcelo Gama de Abreu, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Anesthesiology, University Clinic Carl Gustav Carus, Technical University Dresden

Locations

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University Clinic Carl Gustav Carus, Technical University Dresden

Dresden, , Germany

Site Status

Countries

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Germany

References

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Spieth PM, Guldner A, Huhle R, Beda A, Bluth T, Schreiter D, Ragaller M, Gottschlich B, Kiss T, Jaber S, Pelosi P, Koch T, Gama de Abreu M. Short-term effects of noisy pressure support ventilation in patients with acute hypoxemic respiratory failure. Crit Care. 2013 Oct 31;17(5):R261. doi: 10.1186/cc13091.

Reference Type DERIVED
PMID: 24172538 (View on PubMed)

Other Identifiers

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EK276112007

Identifier Type: -

Identifier Source: org_study_id