Early Spontaneous Breathing in Acute Respiratory Distress Syndrome
NCT01862016 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 702
Last updated 2019-03-19
Summary
The care of acute respiratory distress syndrome (ARDS) has been significantly improved by learning from experimental and physiological research works and by a series of randomized controlled trials. The mortality of this syndrome remains however high. Numerous experimental and clinical works demonstrated that a ventilatory mode authorizing the patient to make, from the acute phase, spontaneous breathing cycles superimposed on assistance delivered by the ventilator (BIPAP-APRV mode) allowed to improve gas exchanges and hemodynamic tolerance of the ventilation while reducing the need for sedative drugs. This ventilatory mode could also reduce the risk of diaphragmatic dysfunction induced by ventilation. Consequently, our hypothesis is that this ventilatory mode could allow a reduction of mortality in ARDS patients.
The aim of this multicenter, prospective, randomized, controlled, open study is to compare the effects of two ventilatory strategies on the mortality of ARDS patients and placed under mechanical ventilation.
Conditions
- Acute Respiratory Distress Syndrome
Interventions
- PROCEDURE
-
APRV
Pressure ventilation mode allowing early spontaneous breathing
- BIOLOGICAL
-
arterial blood gas measurement each morning
Sponsors & Collaborators
-
University Hospital, Angers
lead OTHER_GOV
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-02-28
- Primary Completion
- 2017-12-16
- Completion
- 2019-05-31
Countries
- France
Study Locations
More Related Trials
-
PEEP and Spontaneous Breathing During ARDS
NCT04241874 ·Status: COMPLETED ·Phase: NA
-
Ultra-Protective Lung Ventilation With Extracorporeal CO2 Removal for Moderate ARDS
NCT04903262 ·Status: RECRUITING ·Phase: NA
-
Severe ARDS: Generating Evidence
NCT03021824 ·Status: COMPLETED
-
Compare Between APRV and Bipap Ventilation in ARDS Patients
NCT06755320 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Precision Ventilation vs Standard Care for Acute Respiratory Distress Syndrome
NCT06066502 ·Status: RECRUITING ·Phase: PHASE3
-
Pulmonary and Ventilatory Effects of Bed Verticalization in Patients With Acute Respiratory Distress Syndrome
NCT04371016 ·Status: COMPLETED ·Phase: NA
-
Early PReserved SPONtaneous Breathing Activity in Mechanically Ventilated Patients With ARDS (PReSPON)
NCT04228471 ·Status: UNKNOWN ·Phase: NA
-
Cardiopulmonary Effects of Bronchoalveolar Wash on Patients With Acute Respiratory Distress Syndrome
NCT02818049 ·Status: TERMINATED ·Phase: NA
-
Effects of Variable Ventilation on Respiratory System of Acute Respiratory Distress Syndrome (ARDS) Patients
NCT00202098 ·Status: COMPLETED ·Phase: NA
-
Standard Treatment Compliance of Participants, Effectiveness and Prognosis in Acute Respiratory Distress Syndrome
NCT02178982 ·Status: COMPLETED
-
Hemodynamic Effects of PEEP in ARDS
NCT03896802 ·Status: UNKNOWN ·Phase: NA
-
Alveolar Recruitment Maneuvers, Intracerebral Hemodynamic and Oxygenation
NCT02574169 ·Status: RECRUITING ·Phase: NA
-
APRV/BIPAP With Spontaneous Breathing on Lung Protection
NCT02071277 ·Status: COMPLETED ·Phase: NA
-
Standardized Application of High Frequency Oscillatory Ventilation in the Acute Respiratory Distress Syndrome (ARDS)
NCT01677130 ·Status: COMPLETED
-
Incidence of Dyssynchronies in Early ARDS
NCT03447288 ·Status: UNKNOWN
-
Airway Pressure Release Ventilation for Moderate-to-severe Acute Respiratory Distress Syndrome
NCT04156438 ·Status: COMPLETED ·Phase: NA
-
Non-Invasive Positive Pressure Ventilation and Adult Respiratory Distress Syndrome (ARDS)
NCT00644930 ·Status: COMPLETED ·Phase: NA
-
Validation of a Simple Approach to Estimate Alveolar Recruitability in ARDS Patients
NCT02457741 ·Status: COMPLETED
-
Paramedical Protocol for Ventilation in Acute Respiratory Distress Syndrome
NCT06039215 ·Status: UNKNOWN ·Phase: NA
-
Assessment of the PEEP Responsiveness to Titrate End-expiratory Pressure and of the Need for Muscle Relaxation During Prone Positioning in Moderate-to-severe Acute Respiratory Distress Syndrome: A Master Protocol
NCT06849570 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Long Term Outcome on Brain and Lung of Different Oxygen Strategies in ARDS Patients
NCT03621293 ·Status: UNKNOWN ·Phase: PHASE3
-
Effect of Prone Positioning on Mortality in Patients With Severe and Persistent Acute Respiratory Distress Syndrome
NCT00527813 ·Status: COMPLETED ·Phase: NA
-
The ARISE Study - Use of Vertical Positioning
NCT07025421 ·Status: RECRUITING ·Phase: NA
-
Recruitment on Extravascular Lung Water in Acute Respiratory Distress Syndrome (ARDS)
NCT01552070 ·Status: COMPLETED ·Phase: PHASE2
-
Physiological Effects of Controlled vs. Assisted Ventilation During Moderate-to-severe ARDS (PEARL Study)
NCT07315815 ·Status: NOT_YET_RECRUITING