Comparison of diaphragmatic atrophy in patients on ventilatory support with SIMV plus PS mode and ACMV mode: A prospective randomized controlled trial
Trial Snapshot
- Phase
- Phase 3
- Status
- Recruiting
- Sponsor
- Enrollment
- 42
- Locations
- 1
- Primary Endpoint
- Decrease in diaphragmatic thickness measured by ultrasound
Study Overview
Brief Summary
Patients receiving mechanical ventilation in the ICU suffer from diaphragmatic atrophy, which is usually maximal by the third day of ventilation. This atrophy can pose problems in weaning of the patient from ventilation. Synchronised Intermittent Mandatory Ventilation with Pressure Support and Assist-Control Mechanical Ventilation are two comon modes of ventilation in critically ill patients. This study aims to quantify and compare the degree of atrophy with these two modes of ventilation.
Study Design
- Study Type
- Interventional
- Allocation
- Permuted block randomization, variable
- Masking
- Participant Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 65.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients requiring mechanical ventilation after admission to ICU.
Exclusion Criteria
- •Mechanical ventilation (invasive and noninvasive) before coming into ICU
- •Patients who are not started on enteral feeding within 24 hours of coming into ICU
- •Patients with known neuromuscular disorders and anatomical malformations of the thorax
- •Patients with neuroparalytic snake bite
- •Patients with organophosphorous compound poisoning 6.
Outcomes
Primary Outcomes
Decrease in diaphragmatic thickness measured by ultrasound
Time Frame: 1st day of ventilation | 3rd day of ventilation (72 hours after the first measurement)
Secondary Outcomes
- Duration of ventilation(At the time of transfer from the ICU)
