NCT05203536
Completed
Not Applicable
ICEBERG STUDY. Respiratory Mechanics Assessment During Assisted Mechanical Ventilation
ConditionsAcute Hypoxemic Respiratory Failure
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Acute Hypoxemic Respiratory Failure
- Sponsor
- University of Milano Bicocca
- Enrollment
- 298
- Locations
- 8
- Primary Endpoint
- Correlation between respiratory system mechanical properties and ICU mortality
- Status
- Completed
- Last Updated
- 11 months ago
Overview
Brief Summary
To verify the association between respiratory system mechanical properties (ΔP, ΔPL,dyn, Pmus, Pplat and CRS and CL,dyn) assessed during assisted modes of ventilation (as average over the first three days since enrollment) and ICU mortality.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Acute Hypoxaemic Respiratory Failure (defined as respiratory failure requiring invasive mechanical ventilation with a PaO2/FiO2\< 300 mmHg) during the course of ICU stay (including ARDS).
- •Invasive mechanical ventilation in one of these modes: Pressure A/C, PRVC, SIMV PC, PSV, NAVA, PAV+, BiPAP
- •Presence of spontaneous breathing activity (ventilator triggering), since 6 hours and no longer than 48 hours
- •Patient for full active management at this point.
Exclusion Criteria
- •Age \<18 years old
- •Pregnancy
- •Active air leaks
- •Moribund state
- •Patient has passed a spontaneous breathing trial (if performed for clinical indication)
- •Known COPD with history of home oxygen therapy and/or non invasive ventilation and/or GOLD III-IV. Non invasive ventilation for sleep apnea is NOT an exclusion criteria.
Outcomes
Primary Outcomes
Correlation between respiratory system mechanical properties and ICU mortality
Time Frame: 90 days
Difference between mean values of driving pressure in survivors and non-survivors at ICU discharge.
Secondary Outcomes
- Correlation between respiratory system compliance and ICU mortality(90 days)
- Correlation between pressure muscle index and ICU mortality(90 days)
- Correlation between plateau pressure and ICU mortality(90 days)
- Correlation between muscle pressure and ICU mortality(90 days)
Study Sites (8)
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