Health Condition 1: J441- Chronic obstructive pulmonary disease with (acute) exacerbation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Admision to ICU for acute exacerbation of chronic obstructive pulmonary disease 2.Acute respiratory failure (PaCO2 > 50 mm Hg, PaO2 3.Tracheal intubation with controlled mechanical ventilation
Exclusion criteria
Exclusion criteria: 1. Pregnancy 2. History of neuromuscular disease 3. Chest wall deformities 4. Intracranial hypertension 5. Septic shock. 6. Refusal to consent. 7. Need of mechanical ventilation for less than 24hr hours 8. Respiratory failure requiring invasive mechanical ventilation for condition other than acute exacerbation of chronic obstructive pulmonary disease 9. Existing tracheostomy 10. Required long term ventilation within past 3 months. 11. Associated Interstitial lung disease 12. Lobar pneumonia 13. Presence of pulmonary edema
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the efficacy of mechanical power (on invasive mechanical ventilation) in predicting difficult weaning of patients with acute exacerbation of chronic obstructive pulmonary disease.Timepoint: At admission after 15 minutes of intubation and initiation of invasive mechanical ventilation (Day 1) At 24 hours(Day2) Day2-Day28 | — |
Secondary
| Measure | Time frame |
|---|---|
| Other outcome parameters (morbidities in ICU, nutritional parameters, prolonged weaning, unsuccessful weaning, Post-extubation NIV need, Post-extubation failure, ventilator free days, ICU length of stay, ICU free days, in-hospital length of stay, readmission to ICU, ICU mortality, and 28-day mortality)Timepoint: Day1-Day28;Baseline parameters (Demographics, SOFA score, APACHE II score, Arterial blood gas, diagnosis and co-morbidities).Timepoint: At admission(Day1) ;To analyse correlation between positive end expiratory pressure and mechanical power in patients receiving invasive mechanical ventilation for acute exacerbation of chronic obstructive pulmonary disease.Timepoint: At admission after 15,20,25,30,35,40,45,50,55,60,65 minutes of intubation and initiation of invasive mechanical ventilation (Day1) At 24 hours(Day2) ;To evaluate the efficacy of mechanical power (on invasive mechanical ventilation) in predicting simple weaning of patients with acute exacerbation of chronic obstructive pulmonary disease.Timepoint: At admission after 15 minutes of intubation and initiation of invasive mechanical ventilation (Day 1) At 24 hours(Day2) Day2-Day28 | — |
Countries
India
Contacts
All India Institute of Medical Sciences,Rishikesh