Etude Clinique Observationnelle, Prospective, Ouverte, Monocentrique Sur l'Utilisation d'un Mode Ventilatoire entièrement automatisé Chez Les Patients de réanimation de l'Intubation Jusqu'au Sevrage.
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Respiratory Distress Syndrome
- Sponsor
- Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- oxygenation , gaseous interchange and ventilation parameters
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
Rational: Intellivent is a ventilation mode completely automated which controls ventilation and oxygenation parameters. Safety and performance of IntelliVent has still been demonstrated in post operative heart surgery for patient with a controlled ventilation on short period (2 to 4 hours). This feasibility study evaluate the use of Intellivent for Intensive care unit patients from intubation to coming off.
Primary objective : Compare parameters which have been selected by automated mod (Intellivent) to those selected by clinical practitioner in a conventional mode
Secondary objectives: Record oxygenation , gaseous interchange and ventilation parameters. Record complications, number of manual adjustments and prognostic signs.
Methodology: Patients in the intensive care unit who need invasive ventilation. They will be included after a detailed information (information note). Oxygenation and ventilation parameters will be recorded 2 times by day from intubation to coming off. The investigator in charge will determine daily at the bedside of the patient the adjustments he should make in a conventional mode. These adjustments will be compared to the IntelliVent automated adjustments.
Experimental study, observational, prospective, comparative, opened, monocentric in an intensive care unit.
Number of patients: 100
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patient which needs an invasive ventilation
- •Intubation \< 24 hours
- •Age ≥ 18 years
Exclusion Criteria
- •Patient which has withdrawal standard in line with the unit coming off procedure (all criteria must be present)
- •temperature ≤ 38,5°C
- •No pressor drug
- •No sedation,
- •Motor response to order,
- •Cough during bronchoaspiration
- •%VM ≤ 130%, FiO2 ≤ 50%, PEEP ≤ 5 cmH2O, Pinsp ≤ 25 cmH2O.
- •Patient with non invasive ventilation .
- •Dysfunctions of the ventilatory command (ex Cheyne-Stokes).
- •Broncho pleural fistula.
Outcomes
Primary Outcomes
oxygenation , gaseous interchange and ventilation parameters
Time Frame: Participants are followed until they no longer need ventilation up to 10 days
Record oxygenation , gaseous interchange and ventilation parameters