Ventilation With ASV Mode in Children

NCT ID: NCT03930147

Last Updated: 2023-12-13

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

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-13

Study Completion Date

2023-12-05

Brief Summary

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ASV mode of ventilation is an automatic mode with closed-loop control used for mechanical invasive ventilation in intubated patients. It has been studied in adult patients but not in children.

This interventional physiology study will include 40 children on mechanical invasive ventilation.

Detailed Description

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The objective of the study is to assess the feasibility of ASV in children and compare physiologic values on ASV mode to Pressure-Control and Pressure-Support mode of ventilation regarding the participant is on active or passive ventilation phase.

Physiologic values will be monitored on different modes of ventilation in a randomized order. Each participant will be his own control regarding the different modes of ventilation. Monitoring will be done during 90 minutes for each mode of ventilation.

Participant will have two different phases of ventilation. The first one is the passive phase (participant does not trigger the ventilator cycle sustainly) in which ASV and Pressure-Control Ventilation will be performed in a randomized order. The second phase will be the active ventilation phase (participant does trigger the ventilator cycle sustainly) in which ASV and Pressure-Support Ventilation will be performed in a randomized order.

Conditions

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Mechanical Ventilation

Keywords

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Children Ventilation Closed-loop mechanical ventilation Adaptive support ventilation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Two different phases of ventilation (passive versus active) will be monitored in each patient.

In each phase, two different modes of ventilation will be performed in a randomized order and will be monitored (Pressure-Control Ventilation and ASV during the passive ventilation phase, Pressure-Support Ventilation and ASV during the active ventilation phase). Washout periods will be performed between the different modes of ventilation.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Passive phase, Pressure-Control Ventilation / ASV order

90 minutes of Pressure-Control Ventilation, change to ASV mode with 15 to 30 minutes of washout, 90 minutes of ASV. Return to Pressure-Control Ventilation mode at the end of the intervention.

Group Type EXPERIMENTAL

ASV ventilation

Intervention Type PROCEDURE

Ventilation on ASV mode

Passive phase, ASV / Pressure-Control Ventilation order

90 minutes of ASV, change to Pressure-Control Ventilation mode with 15 to 30 minutes of washout, 90 minutes of Pressure-Control Ventilation.

Group Type EXPERIMENTAL

ASV ventilation

Intervention Type PROCEDURE

Ventilation on ASV mode

Active phase, Pressure-Support / ASV order

90 minutes of Pressure-Support Ventilation, change to ASV mode with 15 to 30 minutes of washout, 90 minutes of ASV. Return to Pressure-Support Ventilation at the end of the intervention.

Group Type EXPERIMENTAL

ASV ventilation

Intervention Type PROCEDURE

Ventilation on ASV mode

Active phase, ASV / Pressure-Support order

90 minutes of ASV, change to Pressure-Support Ventilation with 15 to 30 minutes of washout, 90 minutes of Pressure-Support Ventilation.

Group Type EXPERIMENTAL

ASV ventilation

Intervention Type PROCEDURE

Ventilation on ASV mode

Interventions

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ASV ventilation

Ventilation on ASV mode

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* children on invasive mechanical ventilation admitted in the Pediatric Intensive Care Unit at Lausanne University Hospital
* Body weight \> 6kg
* Absence of pulmonary comorbidity
* Age \< 10 years

Exclusion Criteria

* Patient already included in other interventional clinical study
* body weight \< 6kg
* age \> 10 years
* more than 20% of air leak around endotracheal tube
* chronic or acute pulmonary disease (ARDS, cystic fibrosis, severe asthma, lobectomy, severe bronchomalacia or severe tracheomalacia)
* severe pulmonary hypertension on inhaled nitric oxide treatment
* severe hemodynamic instability (more than 0.5mcg/kg/min of norepinephrine infusion or other high dose vasoactive agent infusion)
* intracranial hypertension (more than 20mmHg if measured) or suspected intracranial hypertension
Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Lausanne Hospitals

OTHER

Sponsor Role lead

Responsible Party

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FERRY Thomas

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Thomas Ferry, MD

Role: PRINCIPAL_INVESTIGATOR

University of Lausanne Hospitals

Locations

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Lausanne University Hospital

Lausanne, , Switzerland

Site Status

Countries

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Switzerland

Other Identifiers

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ASV ventilation in children

Identifier Type: -

Identifier Source: org_study_id