Acute Lung Injury
Conditions
Keywords
Hot water humidifier, Passive heat and moisture exchangers
Brief summary
The main hypothesis are: 1. Passive and Active-Passive airway conditioning devices reduce the incidence of ventilator associated pneumonia 2. Active-Passive airway conditioning devices reduce the incidence of endotracheal tube obstruction 3. Nurses' workload is reduced with Passive and Active-Passive airway conditioning devices
Detailed description
For all Three lines of the study we record Clinical Pulmonary Infection score and Airways Care Score, SOFA (Sequential Organ Failure Assessment), sedation strategy, Glasgow Coma Score and clinical data.
Interventions
Each Passive device will be changed daily. When using Active and Passive devices as well as Active-Passive devices the ventilatory circuit will be changed every 7 days.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients mechanically ventilated with PaO2/FiO2 lower than 300 * Age higher than 18 years * Invasive mechanical ventilation * Endotracheal intubation or tracheostomy for more than 24 hours
Exclusion criteria
* Non invasive ventilation * Severe ARDS (PaO2/FiO2 lower than 100, or PaCO2 higher than 60 mmHg) * Inefficient cough * Head Trauma * Spinal cervical trauma * Chest trauma * Pregnancy * Expectance of poor survival within 72 hours * Congenital airway disease * Immunosuppression * Supraglottic aspiration devices
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction of ventilator associated pneumonia | 2 years | development of ventilator associated pneumonia after 48 hours of mechanical ventilation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Endotracheal tube obstruction | 2 years | difficulties to introduce the airway suction catheter and or need to change the tracheal tube |
| nurses' workload | 2 years | time spent at the bedside by nurses to clear airway's secretions and or to remove water condense from ventilatory circuit |
Countries
Italy