Volume Support/Assist Control Mode Ventilation and Diaphragmatic Atrophy
NCT03901924 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 468
Last updated 2025-06-06
Summary
The objective of the study is to determine how controlled mode ventilation and support mode ventilation impact ventilator-free days and diaphragmatic atrophy.
Conditions
- Mechanical Ventilation Complication
Interventions
- OTHER
-
Volume Support Mode Mechanical Ventilation
This is a spontaneous mode of mechanical ventilation that depends on the patient's efforts. A target volume (6 cc/kg of IBW), PEEP and FiO2 are set by the medical team, and the ventilator varies the inspiratory pressure support with each breath to achieve the target volume. The respiratory rate is fully dependent on the patient. Sedation while on mechanical ventilation will be set at a goal RASS of 0 to -2.
- OTHER
-
Assist Control Mode Mechanical Ventilation
This is a controlled mode of mechanical ventilation that is independent of patient's efforts. A tidal volume (6 cc/kg of IBW), respiratory rate, PEEP and FiO2 are set by the medical team. Sedation while on mechanical ventilation will be set at a goal RASS of 0 to -2.
Sponsors & Collaborators
-
University of Chicago
lead OTHER
Principal Investigators
-
John P Kress, MD · University of Chicago
-
Bhakti Patel, MD · University of Chicago
-
Roger Struble, MD · University of Iowa
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-03-04
- Primary Completion
- 2027-05-31
- Completion
- 2027-05-31
Countries
- United States
Study Locations
More Related Trials
-
Assist Control Versus Pressure Support Modes for Domiciliary Noninvasive Ventilation in Chronic Respiratory Failure
NCT00189527 ·Status: COMPLETED ·Phase: NA
-
Prediction of Outcome of Weaning From Mechanical Ventilation Using the Electrical Activity of the Diaphragm
NCT02539732 ·Status: UNKNOWN
-
Impact of the Assisted Ventilation Mode on Diaphragm Efficiency in Critically Ill Patients
NCT02473172 ·Status: COMPLETED ·Phase: PHASE2
-
PAV vs Assist Control After Failed SBT
NCT02773433 ·Status: COMPLETED ·Phase: NA
-
Mode Of Ventilation During Critical IllnEss Pilot Trial
NCT05563779 ·Status: COMPLETED ·Phase: NA
-
Protocolized Ventilator Weaning Verses Usual Care
NCT03724643 ·Status: COMPLETED ·Phase: NA
-
Inspiratory Muscle Training in Difficult to Wean Patients
NCT03240263 ·Status: COMPLETED ·Phase: NA
-
Optimal Timing for Spontaneous Breathing Trials
NCT06561295 ·Status: RECRUITING ·Phase: NA
-
VSV Versus PSV as a Weaning Mode of Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients
NCT03278795 ·Status: UNKNOWN ·Phase: NA
-
Effect of Three Modalities of Spontaneous Breathing Tests on Respiratory Efforts in Tracheostomized Patients
NCT03856424 ·Status: UNKNOWN ·Phase: NA
-
Impact of High Versus Lower Oxygen Fraction Prior to Extubation on Postoperative Pulmonary Atelectasis Measured With EIT
NCT06538740 ·Status: COMPLETED ·Phase: NA
-
NMES to Prevent Respiratory Muscle Atrophy in Mechanically Ventilated Patients
NCT03453944 ·Status: UNKNOWN ·Phase: NA
-
Impact of Proportional Assisted Ventilation on Dyspnea and Asynchrony in Mechanically Ventilated Patients
NCT02801994 ·Status: COMPLETED ·Phase: NA
-
Patient-ventilator Interactions in Long Term Non-invasive Ventilation: Influence of Back-up Frequency
NCT01130090 ·Status: COMPLETED ·Phase: NA
-
Comparison of Weaning on Pressure Support vs. Proportional Assist Ventilation: A Pilot Study
NCT01666054 ·Status: COMPLETED ·Phase: NA
-
Mechanisms of Altered Ventilatory Control in Heart Failure
NCT02421341 ·Status: COMPLETED ·Phase: NA
-
Continuous Evaluation of Diaphragm Function
NCT03941002 ·Status: UNKNOWN ·Phase: NA
-
Adaptive Support Ventilation in Acute Respiratory Distress Syndrome
NCT03715751 ·Status: COMPLETED ·Phase: NA
-
Diaphragmatic Mobility In Ventilated Assisted Patients
NCT04733261 ·Status: COMPLETED ·Phase: NA
-
Early Directed Physical Therapy in the Management of Mechanically Ventilated Patients in a Medical Intensive Care Unit
NCT00322010 ·Status: COMPLETED ·Phase: PHASE2
-
Evaluation of Variable Pressure Support Ventilation in the Therapy of Acute Lung Injury
NCT00786292 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Review of Automated Ventilator Data's Effect on the Incidence of Ventilator Associated Events in a Medical Surgical Intensive Care Unit
NCT03850340 ·Status: UNKNOWN
-
Mechanical Ventilation Practices in Uganda's Intensive Care Units
NCT03800849 ·Status: UNKNOWN
-
Susceptibility for Entrainment: Role of Ventilator Settings on the Occurrence of Reverse Triggering and Its Physiological Consequences - the SEVeRe Study
NCT06293976 ·Status: RECRUITING ·Phase: NA
-
Trial of Weaning by Synchronized Ventilation
NCT01376544 ·Status: COMPLETED ·Phase: NA