Status:

COMPLETED

Clinical and Physiological Assessment of a Nearly Ultra-protective Lung Ventilation Strategy: A Quasi-experimental Preliminary Study in ARDS Patients

Lead Sponsor:

Clinica las Condes, Chile

Conditions:

ARDS

Volumetric Capnography

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This study aims to determine whether a protective mechanical ventilator strategy generates a reduction in the Bohr´s dead space in patients with moderate or severe acute respiratory distress syndrome ...

Detailed Description

Protective mechanical ventilation strategies are currently the cornerstone of treatment for patients undergoing mechanical ventilatory support. Among them, we can mention the reduction in tidal volume...

Eligibility Criteria

Inclusion

  • Age older than 18 years
  • The requirement of invasive mechanical ventilation for more than 4 hours and less than 72 hours
  • Severe hypoxemia (PAFI \< 200) secondary to ARDS

Exclusion

  • Heart failure stage IV
  • Chronic obstructive pulmonary disease (COPD) on home oxygen
  • Bronchopulmonary fistula
  • Hypovolemic Shock with active hemorrhage
  • Gastrointestinal bleeding
  • Oesophageal Varices
  • Nasopharynx surgery, recent oesophageal or gastric surgery
  • Massive Pulmonary Thromboembolism
  • Catastrophic respiratory failure requiring urgent extracorporeal life support
  • Respiratory acidosis. Hydrogen potential (pH) is less than 7.20 and PaCO2 higher than 60 mmHg at baseline.

Key Trial Info

Start Date :

September 4 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 30 2020

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT04435613

Start Date

September 4 2019

End Date

August 30 2020

Last Update

October 8 2021

Active Locations (1)

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1

Clínica Las Condes

Santiago, Santiago Metropolitan, Chile, 13114