respiratory failure due to muscle weakness
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: age >18 yr. respiratory failure due to severe weakness of the respiratory muscles in absence of pulmonary disease (e.g. myasthenia, cervical spine injury) respiratory failue de to severe weakness of the respiratory muscles with concomitant lung pathology (e.g. end stage ARDS, COPD and lung transplant) ability to breathe spontaneously for 10 minutes written informed consent
Exclusion criteria
Exclusion criteria: Reduced respiratory drive and inability to breath spontaneously without ventilator support for > 10 minutes Hemodynamic instability defined as blood pressure below 100 / 60 mmHg Air leaks by cannula or chest tubes: defined as leaks above 1 liter per minute Severe hypoxemia defined as paO2 below 8 kPa Esophagus or neck surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The difference in activity of the respiratory muscles between the low and high assist level in mechanically ventilated critically ill patients admitted to the intensive care unit. | — |
Secondary
| Measure | Time frame |
|---|---|
| The difference in activity of the respiratory muscles between mechanical ventilation and spontaneous breathing in critically ill patients admitted to the intensive care uni | — |
Countries
Netherlands