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Evaluating the Patient-Ventilator Synchrony During Mechanical Ventilation in Patients With Acute Lung Injury

Completed
Conditions
Mechanically Ventilated ICU Patients
Registration Number
NCT01541514
Lead Sponsor
University of Chicago
Brief Summary

The overall purpose to the study is to prospectively study how often patients with and without acute lung injury (ALI) have patient-ventilator asynchrony demonstrated as stacked breaths. The investigators seek to describe the quantity of stacked breaths by continuously recording flow, volume, and pressure waveforms routinely displayed on the vent. The investigators also seek to describe how primary ICU teams manage asynchrony documenting interventions of sedation or vent manipulation and what modality is most successful.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria

age > 18 years intubated and mechanically ventilated diagnosed with acute lung injury (ALI) or requiring mechanical ventilation for reasons other than ALI

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Exclusion Criteria

neurological deficits (acute or chronic) that prevent effective diaphragm activity.

  • Neuromuscular disease affecting the diaphragm
  • Neuromuscular blockade
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
double stacksnumber per minute over 5 minutes

ventilator waveform recording

Secondary Outcome Measures
NameTimeMethod
mode of ventilation30min

ventilator adjustment

level of sedationbaseline

Richmond Agitation Sedation Score

Trial Locations

Locations (1)

University of Chicago Medical Center

🇺🇸

Chicago, Illinois, United States

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