ART-3 Pilot - Driving Pressure Limited Ventilation for Patients Without ARDS (ART3pilot)
NCT02376647 · Status: WITHDRAWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2022-09-22
Summary
This is a multicenter randomized controlled pilot trial to investigate the feasibility of a driving pressure limited mechanical ventilation strategy compared to a conventional strategy in patients without acute respiratory distress syndrome (ARDS).
Conditions
- Mechanical Ventilation
- Acute Respiratory Distress Syndrome
Interventions
- OTHER
-
Driving pressure limited ventilation
Investigators will use volume controlled (or pressure support ventilation) and adjust tidal volume between 3 and 8 mL/Kg of predicted body weight in order to achieve a driving pressure of 13 cmH2O. The respiratory rate will be titrated to achieve a pH between 7.30 and 7.45 (maximum respiratory rate is 50 breathings per minute). Investigators will not limit plateau pressure in this arm. Once a daily the investigators will assess the target tidal volume that generates a driving pressure of 13cmH2O. The patient should be sedated and without spontaneous efforts during this assessment.
- OTHER
-
Conventional ventilation
Investigators will use volume controlled or pressure support ventilation, tidal volume ≤8 mL/kg of predicted body weight and plateau pressure limited to 30 cmH2O.The respiratory rate will be titrated to achieve a pH between 7.30 and 7.45 (maximum respiratory rate is 35 breathings per minute).
Sponsors & Collaborators
-
Brazilian Research in Intensive Care Network (BRICNet)
collaborator UNKNOWN -
Hospital do Coracao
lead OTHER
Principal Investigators
-
Alexandre B Cavalcanti, MD, PhD · Hospital do Coração(Heart Hospital)
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-03-31
- Primary Completion
- 2024-09-30
- Completion
- 2024-10-31
Countries
- Brazil
Study Locations
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