COVID-19, Respiratory Failure
Conditions
Keywords
sedatives, acute kidney injury, SARS-CoV-2, mechanical ventilation
Brief summary
At the beginning of 2020, a global alert emerged which saturated intensive care units due to COVID-19 worldwide. This caused a need for mechanical ventilation due to atypical pneumonias that had a rapid evolution and respiratory failure; therefore the consumption of sedative agents in the intensive care units escalated. Suboptimal sedation in the intensive care unit, increases the adverse effects, costs, and morbidity. For the time being, they focus on the use of intravenous agents such as propofol or dexmedetomidine, which are associated with tolerance, withdrawal, delirium, and hemodynamic effects. Consequently, the need arises to maximize availability and effectiveness, which is why the intervention of the ANACONDA conservation device is carried out, which works with a heat and humidity exchange filter capable of administering isoflurane or sevoflurane with an efficiency of 90%.
Detailed description
Analyze the difference in intravenous sedation requirements in patients with COVID-19. Patients who were assisted by a mechanical ventilator with sevoflurane versus conventional sedation.
Interventions
Sevoflurane administered with AnaConDa device
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients with confirmed COVI-19 infection and assited with mechanical ventilation who entered critical care department.
Exclusion criteria
* Tranfers to a different hospital. * Death within the first 24 hours of hospital stay.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intravenous sedation requirements | 7 days | Amount of intravenous sedation required |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Delirium | Hospital stay (up to 30 days) | Number of patients that suffered delirium |
| Acute kidney injury | Hospital stay (up to 30 days) | Number of patients that suffered delirium |
| VAP | Hospital stay (up to 30 days) | Number of patients that suffered ventilation acquired pneumonia |
Countries
Mexico