Ventilation Therapy; Complications
Conditions
Keywords
postoperative care, closed-loop modes, safety
Brief summary
compare effects of intellectual mode (in our case it will be Intellivent - ASV -) with conventional ventilation modes after uncomplicated cardiac surgery in patients with body mass index \>35
Detailed description
The study includes the comparison of two methods of invasive respiratory support ventilation( conventional ventilation modes and automatic IntelliventASV mode (a fully automated, or closed-loop, ventilation mode that consists of pressure-controlled ventilation or pressure support ventilation depending on a patient's respiratory activity. In fully automated ventilation mode, tidal volume, pressure levels (including PEEP), minute ventilation, and the oxygen fraction in inspired air are controlled solely by the ventilator) after uncomplicated cardiac surgery). It assumes 30 randomized patients:15 patients in two study groups male and female aged 30 to 70 years of age inclusive, with BMI \> 35 kg/m2. The study will be randomized, single-center, prospective.
Interventions
respirators for invasive mechanical ventilation
Sponsors
Study design
Eligibility
Inclusion criteria
* • Age from 30 years to 70 years inclusive * elective cardiac surgery which included bypass, valve and ascending aortic surgery, * a body mass index of \> 35 kg/m2, * postoperative treatment with mechanical ventilation, * informed consent
Exclusion criteria
* • GFI \<30 ml/min before surgery, serum aspartate and alanine transaminase concentration greater than 80 U/l before surgery, left ventricular ejection fraction less than 30% before surgery. Postoperative
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of patients with tidal volume in optimal, suboptimal, unoptimal zone | During the first 8 hours, since admission on the ICU with the start of the respiratory support | Number of Participants during mechanical ventilation with Tidal volume in optimal zone \< 6 ml/kg/Predicted Body Weight ; Tidal volume in suboptimal zone 6-8 ml/kg/Predicted Body Weight Tidal volume in unoptimal zone \>8 ml/kg/Predicted Body Weight |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the physician's workload | 24 hours | accounting number of manual ventilator settings changes made before extubation of trachea |
Countries
Russia