Use of Extracorporeal CO2 Removal in Case of Moderate to Severe ARDS to Apply an Ultraprotective Mechanical Ventilation Strategy
NCT04556578 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 2
Last updated 2024-12-13
Summary
The extracorporeal CO2 removal (ECCO2R) has been recently proposed in case of Acute Respiratory Distress Syndrome (ARDS) in order to reduce pulmonary injuries induced by the mechanical ventilation. A reducing of tidal volume and/or respiratory rate is thus expected using this extracorporeal respiratory support. However, most of existing devices of ECCO2R can apply only a limited extracorporeal flow, often less than 1L/min, which limits the CO2 exchanges and does not allow to reach an ultraprotective ventilation. An extracorporeal flow higher should logically maximalize CO2 removal and allow reducing intensity of mechanical ventilation. Works focused on high-flow ECCO2R (2-3 L/min) in setting of ARDS are therefore mandatory to better understand apprehend the phenomena of gazes changes with this device and confirm the added-value in management of these specific patients.
Conditions
- Acue Respiratory Distress Syndrome
Interventions
- PROCEDURE
-
High-flow extracorporeal CO2 removal
Applying of a CO2 removal using an extracorporeal circulation with a flow of 2-3.5L/min in order to reduce the aggression induced by the mechanical ventilation.
Sponsors & Collaborators
-
University Hospital, Montpellier
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-02-16
- Primary Completion
- 2023-10-26
- Completion
- 2023-10-26
Countries
- France
Study Locations
More Related Trials
-
Pulmonary And Renal Support During Acute Respiratory Distress Syndrome
NCT01239966 ·Status: COMPLETED ·Phase: PHASE3
-
Correction by ECCO2-R of Hypercapnia in Patients With DVP in Moderate to Severe ARDS Under Protective Ventilation.
NCT03303807 ·Status: COMPLETED ·Phase: NA
-
Ultra-protective Pulmonary Ventilation Supported by Low Flow ECCO2R for Severe ARDS
NCT02252094 ·Status: TERMINATED ·Phase: NA
-
Registry on the EXperience of Extracorporeal CO2 Removal in Intensive Care Units
NCT02965079 ·Status: UNKNOWN
-
Extra Corporeal Membrane Oxygenation in the Acute Respiratory Distress Syndrome: Utility of a Biomarker to Assess the Membrane Efficiency in Improving Oxygenation
NCT02879344 ·Status: COMPLETED ·Phase: NA
-
Low-Flow CO2 Removal for Mild to Moderate ARDS With PRISMALUNG
NCT02606240 ·Status: COMPLETED
-
Veno-venous Extracorporeal CO2 Removal in ARDS-patients to Treat Respiratory Acidosis
NCT01911533 ·Status: COMPLETED ·Phase: NA
-
Post-Market Study of Low-flow ECCO2R Using PrismaLung+
NCT04617093 ·Status: COMPLETED ·Phase: NA
-
Protective Ventilation With Carbon Dioxide (CO2) -Removal Technique in Patients With Adult Respiratory Distress Syndrome (ARDS)
NCT00465309 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Positive End Expiratory Pressure Titration Methods in ARDS Patients
NCT03281473 ·Status: UNKNOWN ·Phase: NA
-
Establishment of a Early Risk Model of ECMO in Children With ARDS
NCT04710173 ·Status: COMPLETED
-
Ultra-Protective Lung Ventilation With Extracorporeal CO2 Removal for Moderate ARDS
NCT04903262 ·Status: RECRUITING ·Phase: NA
-
Extracorporeal Carbon Dioxide Removal Using PrismaLung in Reducing Ventilator Induced Lung Injury
NCT06321497 ·Status: RECRUITING
-
Flow-flow ECCO2-R and 4 ml/kg Tidal Volume vs. 6 ml/kg Tidal Volume to Enhance Protection From VILI in Acute Lung Injury
NCT01522599 ·Status: TERMINATED ·Phase: PHASE3
-
Two Modes of Mechanical Ventilation for Intensive Care Patients With Low Blood Oxygen Due to Breathing Difficulties
NCT06140056 ·Status: TERMINATED ·Phase: NA
-
Extubation Failure Prevention in High Risk Patients by High-flow Conditioned Oxygen Therapy vs. Standard Oxygen Therapy
NCT01820507 ·Status: TERMINATED ·Phase: NA
-
Extracorporeal Lung Assist to Avoid Intubation in Patients Failing Noninvasive Ventilation for Hypercapnic ARF
NCT01784367 ·Status: COMPLETED ·Phase: NA
-
ECMO for Critically Ill Patients With Respiratory Failure and/or Circulatory Failure
NCT04031794 ·Status: UNKNOWN
-
Feasibility of Reducing Respiratory Drive Using the Through-flow System
NCT05642832 ·Status: RECRUITING ·Phase: NA
-
Effect of Transpulmonary MP on Prognosis of Patients With Severe ARDS Treated With VV-ECMO
NCT06062212 ·Status: RECRUITING
-
New Lung Ventilation Strategies Guided by Transpulmonary Pressure in VV-ECMO for Severe ARDS
NCT02439151 ·Status: COMPLETED ·Phase: NA
-
pRotective vEntilation With Veno-venouS Lung assisT in Respiratory Failure
NCT02654327 ·Status: UNKNOWN ·Phase: PHASE3
-
Respiratory Physiotherapy in Severe COVID-19 Patients
NCT04459819 ·Status: COMPLETED
-
Efficacy of Non-Invasive Mechanical Ventilation in Early Hypoxia Secondary to Thoracic Trauma
NCT00557752 ·Status: TERMINATED ·Phase: PHASE4
-
Flow-controlled Ventilation (FCV) in Moderate Acute Respiratory Distress Syndrome (ARDS) Due to COVID-19
NCT04894214 ·Status: COMPLETED