Elective Procedures Requiring Mechanical Ventilation
Conditions
Keywords
Physiologic Monitors, Acute Care Medicine
Brief summary
This is a prospective, observational study to assess agreement of pulmonary health parameters measured by a new non-invasive physiologic monitor, the VQm pulmonary health monitor (PHM)™ with clinical gold standards.
Detailed description
The specific aim of this study is to evaluate the intermittent non-invasive measurements of pulmonary function: pulmonary blood flow (PBF), functional residual capacity (FRC), shunt fraction index (Qsi) and airway dead space measured by the VQm PHM™ compared to known clinical standards. PBF will be compared to continuous and intermittent bolus thermodilution cardiac output as measured through a Swan-Ganz catheter. FRC will be compared to an FRC measurement provided by a standard nitrogen washout method. Qsi will be compared to shunt fraction calculated through mixed venous and arterial blood gas values (VBGs/ABGs). Airway dead space will be compared to an airway dead space measurement provided by a ventilator.
Interventions
Procedure: Non-invasive measurements obtained with the VQm PHM™
Sponsors
Study design
Eligibility
Inclusion criteria
* Age greater than 18 years * Scheduled for an elective surgical procedure with an anticipated duration of more than 2 hours requiring general anesthesia without the use of inhalation anesthetics * Surgical procedure that requires pressure-controlled positive pressure ventilation using an endotracheal tube * Surgical procedure that requires the use of intra-arterial pressure monitoring and/or a Swan-Ganz catheter for the monitoring of continuous cardiac output
Exclusion criteria
* Patients who require ventilation tidal volumes less than 250cc * Age less than 18 years * Pregnancy * Prisoners * Surgical procedure which requires carbon dioxide (CO2) insufflation * Unable to tolerate a transient increase in inhaled CO2 * Unable to tolerate a transient increase in inhaled nitrous oxide (N2O) or use of N2O is contraindicated * Patients who require a high fraction of inspired oxygen (FiO2) (\>70%) to maintain a hemoglobin saturation (SpO2\>98%) Women, minorities or non-English speaking subjects will not be excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of pulmonary function parameters to known clinical standards | Through study completion, an average of 12 months | Assess agreement between measurements from VQm PHM™ to clinical gold standards |
Countries
United States