Acute Respiratory Failure
Conditions
Brief summary
The purpose of this small pilot study is to refine a combined intervention of IV amino acids and cycle ergometry in critically ill patients, and to gather preliminary data, before proceeding with a larger multi-center RCT. A total of 10 patients will receive the combined intervention.
Interventions
IV amino acids and in-bed cycle ergometry
Sponsors
Study design
Eligibility
Inclusion criteria
1. \>=18 years old 2. Requiring mechanical ventilation or high flow nasal cannula (HFNC) with actual or expected total duration of mechanical ventilation or HFNC \>48 hours 3. Expected ICU stay \>4 days after enrollment (to permit adequate exposure to the proposed intervention)
Exclusion criteria
1. \>120 continuous hours of mechanical ventilation or HFNC before enrollment 2. Expected death or withdrawal of life-sustaining treatments within 7 days from enrollment 3. No expectation for any nutritional intake within the subsequent 72 hours 4. Severe chronic liver disease (MELD score \>20) or acute fulminant hepatitis. 5. Documented allergy to the amino acid intervention 6. Not ambulating independently prior to ICU admission (use of gait aid permitted) 7. Pre-existing primary systemic neuromuscular disease (e.g. Guillain Barre) 8. Neuromuscular blocker infusion (eligible once infusion discontinued if other inclusion criteria met) 9. Pre-existing intracranial or spinal process affecting motor function 10. Pre-existing cognitive impairment or language barrier that prohibits outcomes assessment 11. Lower extremity impairments that prevent cycling (e.g. amputation, knee/hip injury) 12. Weight \>150kg 13. Pregnant 14. Incarcerated
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 6-minute walk distance (6MWD) | 6MWD will be measured near the time that the particioant is being discharged from the hospital, up to 26 weeks after randomization. |
Countries
United States