Comparison of Mechanical Power Calculations of Volume Control and Pressure Control Modes: A Prospective Observational Study
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- Ventilator-Induced Lung Injury
- 发起方
- Bakirkoy Dr. Sadi Konuk Research and Training Hospital
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Mechanical power values of different ventilation modes
- 状态
- 已完成
- 最后更新
- 3年前
概览
简要总结
The management of ARDS, which is one of the important problems of intensive care patients, has gained popularity with the pandemic. Mechanical ventilation is an important life-saving treatment in ARDS patients. However, when not used correctly, it can cause Ventilator-Induced Lung Injury (VILI). Therefore, lung protective ventilation should be applied to minimize VILI in ARDS patients. Mechanical power is one of the parameters that guides intensivist in predicting VILI.
详细描述
The goal of mechanical ventilation in ARDS patients is to improve oxygenation by reducing the work of breathing . With this aim, the orientation towards sensitive ventilation strategies has increased in the light of experience and scientific data from the past to the present. Today, the concept of Mechanical Power (MP) has been developed, which combines different variables, such as tidal volume, drive pressure, gas flow, respiratory rate, and PEEP, which have been associated with VILI in various studies, into a single parameter. In this study, the investigators used the simplified MP equation (MPvcv (simpl)) developed by Gattinoni et al. for power calculation in volume control mode and the simplified MP equation (MPpcv(simpl)) developed by Becher et al. for power calculation in pressure control mode. Thus, the investigators aimed to compare the volume control and pressure control modes over the concept of MP.
研究者
入排标准
入选标准
- •Patients with confirmed Covid-19 diagnosis in intensive care unit (ICU) and diagnosed with ARDS according to Berlin criteria
- •Intubated patients which treated in the supine position on the second day of ICU admission
排除标准
- •Patients with a known diagnosis of COPD
- •Patients experiencing hemodynamic instability during ventilation
- •Prone pozisyonda olan hastalar
- •Patients receiving inotropic support
- •Patients with missing data
结局指标
主要结局
Mechanical power values of different ventilation modes
时间窗: 60 minutes
We aimed to compare the volume control and pressure control modes over the mechanical power values.