Intensive Care Patients Invasively Ventilated
Conditions
Brief summary
Preliminary study to compare IntelliVent-ASV to conventional modes used from intubation to extubation or death in ICU patients requiring mechanical ventilation measuring duration of mechanical ventilation in order to design a multicenter large trial.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
\- Unselected ICU patients invasively ventilated for less than 24 hours, with an expected duration of MV longer than 48 hours.
Exclusion criteria
* broncho-pleural fistula * dyshemoglobulinémia * moribund patient * do-not-resuscitate order * chronic respiratory failure requiring long term ventilation, * patient ventilated more than 24 hours before admission, * pregnancy, * age below 18 years, * protected patients, * patient already participating in the study, * Cheynes-Stockes breathing. * Included patients with a treatment withdrawal decision within 24 hours after inclusion will be excluded, * patients transferred to another ICU, * patients needing ECMO, patients randomized to IntelliVent having less than 20% of time in IntelliVent-ASV.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numbers of manual adjustments | participants are followed until they no longer need ventilation, up to 10 days | Numbers of manual adjustments of the FULLY CLOSED-LOOP VENTILATION device ( INTELLIVENT ASV) |
Secondary
| Measure | Time frame |
|---|---|
| ventilation parameters | participants are followed until they no longer need ventilation, up to 10 days |
| Sedation doses | participants are followed until they no longer need ventilation, up to 10 days |
| sedation duration, | participants are followed until they no longer need ventilation, up to 10 days |
| ICU Mortality | participants are followed until they no longer need ventilation, up to 10 days |
| 28 days mortality | participants are followed until they no longer need ventilation, up to 10 days |
| Duration of invasive ventilation | participants are followed until they no longer need ventilation, up to 10 days |
Countries
France, Italy