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Evaluation of Oxygen Consumption and Energy Expenditure During Spontaneous Breathing Trial.

Not Applicable
Completed
Conditions
Respiratory Failure
Interventions
Device: Automatic Tube Compensation plus CPAP
Device: Continuous Positive Airway Pressure
Registration Number
NCT01757093
Lead Sponsor
University of Sao Paulo
Brief Summary

The purpose of this study is to compare the oxygen consumption and energy expenditure during the spontaneous breathing trial.

Detailed Description

Patients is going to submit to the 2 spontaneous breathing trial ( Automatic tube compensation plus continuous positive airway pressure and continuous positive airway pressure without automatic tube compensation. The oxygen consumption and energy expenditure is going to measure during the spontaneous breathing trial by indirect calorimetry.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • IMPROVEMENT OR RESOLUTION OF THE UNDERLYING CAUSE OF DISEASE
  • INTUBATED PATIENTS>24h
  • PaO2 GREATER THAN 60 mmHg WITH FiO2 LESS THAN 40%
  • PEEP=5 cmH2O
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Exclusion Criteria
  • CARDIOVASCULAR INSTABILITY
  • FEBRILE OR HYPOTHERMIA
  • CHEST DRAINAGE
  • RESPIRATORY RATE/TIDAL VOLUME RATIO GREATER THAN 105
  • PREGNANCY
  • FAIL IN THE SPONTANEOUS BREATHING TRIAL
  • LEAKS IN THE CIRCUIT
  • AGITATION
  • NOT ACCEPT PARTICIPATE IN THE STUDY
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Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Automatic tube compensation plus CPAPAutomatic Tube Compensation plus CPAPThe patients is going to undergo trials of spontaneous breathing with automatic tube compensation plus continuous positive airway pressure and later a trial with continuous positive airway pressure. During 30 minutes.
Automatic tube compensation plus CPAPContinuous Positive Airway PressureThe patients is going to undergo trials of spontaneous breathing with automatic tube compensation plus continuous positive airway pressure and later a trial with continuous positive airway pressure. During 30 minutes.
Continuous Positive Airway PressureContinuous Positive Airway PressureThe patients is going to undergo a trial of spontaneous breathing with continuous positive airway pressure and later with automatic tube compensation plus continuous positive airway pressure, during 30 minutes each.
Continuous Positive Airway PressureAutomatic Tube Compensation plus CPAPThe patients is going to undergo a trial of spontaneous breathing with continuous positive airway pressure and later with automatic tube compensation plus continuous positive airway pressure, during 30 minutes each.
Primary Outcome Measures
NameTimeMethod
Measurement of oxygen consumption through indirect calorimetry.The measurement is during the spontaneous breathing trial, 30 minutes.

Measurements using indirect calorimetry for determination of oxygen consumption

Secondary Outcome Measures
NameTimeMethod
Measurement of energy expenditure through indirect calorimetryThe measurement is during the spontaneous breathing trial, 30 minutes.

Measurement using indirect calorimetry for determination of energy expenditure.

Trial Locations

Locations (1)

Hospital Das Clínicas Da Faculdade de Medicina de Ribeirão Preto -Universidade de São Paulo

🇧🇷

Ribeirão Preto, São Paulo, Brazil

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