Impact of Neurally Adjusted Ventilator Assist (NAVA) Mode on Patient Ventilator Asynchrony Using Helmet
NCT01161875 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 10
Last updated 2011-08-05
Summary
Non invasive ventilation has been proposed to reduce the incidence of ventilatory dysfunction following abdominal aortic surgery. However, the nasogastric tube reduces the airtightness of the facial mask used to perform non invasive ventilation and induces air leaks. The use of a helmet reduces air leaks, thus seems adequate to ensure patient-ventilator interface. However, the high dead space related to helmet volume is responsible for asynchrony between patient demand and ventilatory support delivery. The investigators hypothesized driving the ventilator based on a neural signal (diaphragm electrical activity) would reduce patient-ventilator asynchronies.
Conditions
- Non-Invasive Positive-Pressure Ventilation
Interventions
- DEVICE
-
Neurally Adjusted Ventilatory Assistance
In ICU following abdominal aortic surgery, in extubated patient, non-invasive ventilation was performed as follows: * facial mask with non-invasive pressure support ventilation mode to define settings for helmet ventilation * helmet use with non-invasive pressure support ventilation mode to define adequate settings * helmet use with neurally adjusted ventilatory assist mode, based on previous settings
Sponsors & Collaborators
-
Pierre and Marie Curie University
lead OTHER
Principal Investigators
-
Thomas Similowski, MD, PhD · Groupe Hospitalier Pitie-Salpetriere
-
Mathieu RAUX, MD, PhD · Groupe Hospitalier Pitie-Salpetriere
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-11-30
- Primary Completion
- 2010-12-31
- Completion
- 2010-12-31
Countries
- France
Study Locations
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