Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients on invasive mechanical ventilation and admitted in ICU following exploratory laparotomy due to ARF for less than 24 hours 2.Age group 18-60 years 3.Stable hemodynamic parameters (Mean Arterial Pressure between 70 mm Hg - 100 mm Hg, Heart Rate between 60 - 100/minute, SPO2 >= 90%) 4.Richmond Agitationâ??Sedation Scale (RASS)between 0 and -2
Exclusion criteria
Exclusion criteria: 1.Refusal of informed consent 2.Pregnant women 3.Morbidly obese patients (BMI >35) 4.Patients diagnosed with ARDS (Mild, Moderate or Severe) according to Berlinâ??s definition. 5.Patients with severe or chronic heart, lung, hepatic or renal disease 6.Patients with severe neuromuscular disorders 7.Patients on vasopressors, cardiac depressants or neuromuscular blockers 8.Patients with traumatic brain injury 9.Patients with blunt or traumatic chest injury 10.Patients with severe multiple organ dysfunction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Ventilatory Parameters ( Peak airway pressure, Platue pressure, Mean airway pressure, Mean airway pressure, Compliance, Static compliance, Airway resistance)Timepoint: T1-Two hours after keeping on A/C VC mode just before switching to study mode (as per group allocation). T2-Four hours after switching on study mode T3-Twelve hours after switching on study mode | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Haemodynamic Parameters- Systolic Blood Pressure, Diastolic Blood Pressure, mean Arterial Pressure, End Tidal Carbon Dioxide, Oxygen Saturation as per Pulse Oximetry. 2) Arterial Blood Gas Analysis Parameters- Partial Pressure of Oxygen in Arterial Blood, Partial Pressure of Carbon Dioxide in Arterial Blood, Oxygen Saturation in Arterial Blood, pHTimepoint: T1-Two hours after keeping on A/C VC mode just before switching to study mode (as per group allocation). T2-Four hours after switching on study mode T3-Twelve hours after switching on study mode | — |
Countries
India
Contacts
Government Medical College and Hospital, Sector 32, Chandigarh