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Evaluating the effects of two approaches to oxygen therapy in Intensive Care Unit patients requiring life support (mechanical ventilation)

Not Applicable
Completed
Conditions
Critical illness
Mechanical ventilation
Hyperoxaemia
Respiratory failure
Respiratory - Other respiratory disorders / diseases
Anaesthesiology - Other anaesthesiology
Registration Number
ACTRN12615000957594
Lead Sponsor
Medical Research Institute of New Zealand
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
1000
Inclusion Criteria

Patients at least 18 years of age who require invasive mechanical ventilation in the ICU and are expected to be receiving mechanical ventilation beyond the next calendar day.

Exclusion Criteria

After enrollment of 100 participants, in response to feedback from site investigators and research coordinators, the exclusion criteria were amended to read as follows:
1. Greater than two hours of invasive mechanical ventilation and/ or non-invasive ventilation in an ICU during this hospital admission (includes time ventilated in another hospital’s ICU)
2. In the view of the treating clinician, hyperoxia is clinically indicated for reasons including (but not limited to) carbon monoxide poisoning or a requirement for hyperbaric oxygen therapy
3. In the view of the treating clinician, avoidance of hyperoxia is clinically indicated for reasons including (but not limited to) chronic obstructive airways disease (COPD), paraquat poisoning, previous exposure to bleomycin, or chronic hypercapnic respiratory failure
4. Pregnancy
5. Death is deemed to be inevitable as a result of the current acute illness and either the treating clinician, the patient, or the substitute decision maker are not committed to full active treatment
6. Patients with a life expectancy of less than 90 days due to a chronic or underlying medical condition
7. Admitted following a drug overdose (including alcohol intoxication)
8. Long-term dependence on invasive ventilation prior to this acute illness
9. Confirmed or suspected diagnosis of any of the following: Guillain-Barré syndrome, cervical cord injury above C5, muscular dystrophy, or motor neurone disease
10. Enrolment not considered in the patient’s best interests
11. Enrolled in any other trial of targeted oxygen therapy
12. Previously enrolled in the ICU-ROX study

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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