Status:

UNKNOWN

Assisted or Controlled Ventilation in Ards (Ascovent)

Lead Sponsor:

University of Roma La Sapienza

Conditions:

ARDS

Ventilator-Induced Lung Injury

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The present pilot randomized controlled clinical trial will test the hypothesis that in patients with ARDS, fixing ventilator settings to the conventional protective ventilatory strategy (VT 6 ml/kg i...

Detailed Description

All patients will be treated according to the sedation protocols and standards of care. Sedation will be guaranteed by continuous infusion of Propofol 2-4 ml / Kg / h, Remifentanil 0.05-0.1 mcg / Kg /...

Eligibility Criteria

Inclusion

  • Patients \> 18 years of age who:
  • Are intubated less than 24 hours since meeting the Berlin definition criteria for ARDS.
  • Have a commitment to full support;
  • Have no exclusion criteria

Exclusion

  • Intubation and mechanical ventilation (any form) for \> 24 hours;
  • Acute brain injury with Glasgow coma scale (GCS) \<7;
  • Body mass index \> 40;
  • Age \< 18 years;
  • Neuromuscular disease that impairs ability to ventilate without assistance;
  • Severe chronic respiratory disease;
  • Burns \> 40% total body surface area;
  • Malignancy or other irreversible disease or condition for which 6-month mortality is estimated to be greater than 50%;
  • Allogeneic bone marrow transplant within the last 5 years;
  • Chronic respiratory condition making patient respirator dependent;
  • Patient, surrogate, or physician not committed to full support;
  • Acute myocardial infarction or acute coronary syndrome within 30 days;
  • Moribund patient: not expected to survive 24 hours;
  • No consent/inability to obtain consent

Key Trial Info

Start Date :

September 1 2017

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2019

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT03245684

Start Date

September 1 2017

End Date

September 1 2019

Last Update

August 10 2017

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