Ventilation, Mechanical
Conditions
Keywords
Respiration Artificial, Positive-Pressure Respiration, Critical Care, Intensive Care Units
Brief summary
The purpose of this study is to evaluate the long term use of AutoFlow mode during mechanical ventilation in ICU patients
Detailed description
Many new mechanical ventilation modes are proposed without clinical evaluation. Among them, dual-controlled modes, as AutoFlow, are supposed to improve patient-ventilator interfacing, and could led to lesser alarm. This study is a long term clinical evaluation of AutoFlow during assist-controlled ventilation, focusing on its efficacy (on gas exchange and outcome) and on ventilator alarms.
Interventions
Activation of AutoFlow mode during assist-controlled ventilation
Assist-controlled ventilation without activation of AutoFlow mode
Sponsors
Study design
Eligibility
Inclusion criteria
* adult patients under assist-controlled ventilation with an Evita 4 ventilator (Dräger, France) for an expected duration of more than two days
Exclusion criteria
* coma * ventilation longer than 12 hours prior to inclusion * pregnancy * inclusion in another study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| gas exchange | daily during mechanical ventilation |
| sedation length | ICU discharge |
| ventilator alarm rates | daily during mechanical ventilation |
Secondary
| Measure | Time frame |
|---|---|
| death rate | ICU discharge |
| length of mechanical ventilation | ICU discharge |
| cumulative sedation drugs dosage | ICU discharge |
| ventilator asssociated pneumonia rate | ICU discharge |
| SOFA score | daily during mechanical ventilation |
Countries
France