Comparison of the Hemodynamic Safety of Two Common Alveolar Recruitment Manoeuvres With Regard to Cardiac Output in a Surgical Intensive Care Unit
NCT02805036 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 30
Last updated 2017-02-23
Summary
Protective ventilation - combining a low tidal volume (between 6 and 8 ml/kg) and alveolar recruitment (AR) manoeuvres repeated every 30 minutes - is currently the standard of care for decreasing morbidity associated with mechanical ventilation.
In contrast, there is no consensus on the type of recruitment manoeuvre, which varies from one centre to another and from one study to another.
The investigators intend to compare two currently used AR techniques with regard to their ventilatory efficacy and hemodynamic safety:
* An end-tidal plateau at 30 cmH20 for 30 seconds.
* An end-tidal plateau at 10 cmH20 above the patient's plateau pressure for 30 seconds, without exceeding 30 cmH20.
Conditions
- Positive-Pressure Respiration
Interventions
- DEVICE
-
echocardiography
• Prospective, simultaneous recording of the cardiac output (measured non-invasively via transthoracic echocardiography) and a number of parameters commonly monitored in the surgical intensive care unit (CVP, SBP/DBP/MBP).
- DEVICE
-
Arterial oximetry
measured by co-oximetry of a blood sample taken via the arterial catheter implemented for critical care
Sponsors & Collaborators
-
Centre Hospitalier Universitaire, Amiens
lead OTHER
Principal Investigators
-
Emmanuel LORNE, MD, PhD · CHU Amiens
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-11-30
- Primary Completion
- 2016-11-30
- Completion
- 2016-11-30
Countries
- France
Study Locations
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