Health Condition 1: J22- Unspecified acute lower respiratory infection
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, an individual must meet all of the following criteria: a. Provision of signed and dated informed consent form by patient or healthcare proxy. b. At least one RT-PCR assay for SARS-CoV2 with negative result in the last 7 days. c. Currently requiring stable mechanical ventilation with no plan to extubate or change ventilation settings for the next 48 hours. d. Greater than or equal to 18 years of age.
Exclusion criteria
Exclusion criteria: An individual who meets any of the following criteria will be excluded from participation in this study: a. Suspected or laboratory-confirmed SARS-CoV-2. b. Patients deemed unsafe to transition ventilators. c. Severe hypoxemia requiring mechanical ventilation with FiO2 > 80%, PEEP > 15 cmH2O or prone positioning. d. Severe cardiac valvular disease e. Severe pulmonary hypertension or right heart failure f. Receiving intravenous: epoprostenol, milrinone, dobutamine, dopamine or epinephrine g. Receiving high intravenous infusions of norepinephrine ( >20 mcg/min), vasopressin ( >0.04 u/min) or phenylephrine ( >150 mcg/min) h. Receiving inhaled: epoprostenol or nitric oxide i. Cardiac assist devices (intra-aortic balloon pump, ventricular assist devices, extracorporeal membrane oxygenation) j. Congenital heart disease k. Known or suspected elevated intracranial pressure l. Pregnant m. Patients currently (or within 30 days) participating in clinical trial with investigational drug or device n. Any other medical condition, which in the opinion of the investigator, would place the patient at undue risk from participating.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Improvement in Oxygenation status in terms of P/F ratio after 12 hours of iSAVE (splitter device) use. 2) Blood carbondioxide value as detected by arterial blood gas sampling while the patient is on iSAVE (splitter device).Timepoint: 12 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Effect of suctioning of one patient on the other patient connected through iSAVE device. 2) Effect of coughing of one patient on the flow distribution on the other patient.Timepoint: 0 hour, 2 hour, 4 hour, 6 hour, 8 hour, 10 hours and 12 hours. | — |
Countries
India
Contacts
All India Institue of Medical Sciences (AIIMS), Jodhpur