Closed Loop Mechanical Ventilation and ECMO
NCT04925518 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 62
Last updated 2021-06-14
Summary
Mechanical ventilation and ECMO are both technologies interacting on gas exchange. Nevertheless, besides a consensus paper, no evidence-based guidelines regarding protective lung ventilation on ECMO exist to date. Mechanical Ventilation with Intellivent-ASV, an algorithm driven, closed loop system, provides an opportunity to standardize ventilation on ECMO.
We propose and validate lung protective ventilation with a closed loop ventilation mode in patients with ECMO.
Conditions
- Acute Respiratory Distress Syndrome
- Cardiogenic Shock
Interventions
- DEVICE
-
Closed Loop Mechanical Ventilation
Closed loop ventilation mode (Intellivent-ASV+®). Intellivent-ASV+® was initiated by activating the controllers for minute volume, PEEP (range 5 to 18 cmH2O) and fraction of inspired oxygen (FiO2) (range 21 to 100 %). The target shift ranges for CO2-management were set between -2.5 and +2.5 kPa, and for O2-management between -2 and +2 %.
- DEVICE
-
Conventional Mechanical Ventilation
Mechanical ventilation with a conventional mode, usually either biphasic positive airway pressure ventilation (DuoPAP®) or adaptive support ventilation (ASV®)
Sponsors & Collaborators
-
University of Zurich
lead OTHER
Principal Investigators
-
Marco Maggiorini · Medizinische Intensivstation D-HOER 27, UniversitatsSpital Zürich
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-03-06
- Primary Completion
- 2018-05-23
- Completion
- 2018-05-23
More Related Trials
-
Strategies for Optimal Lung Ventilation in ECMO for ARDS: The SOLVE ARDS Study
NCT01990456 ·Status: UNKNOWN ·Phase: NA
-
Neural Pressure Support and Non-invasive Estimation of Transpulmonary Pressure in Spontaneous Ventilation Modes
NCT05574829 ·Status: UNKNOWN
-
Low Frequency, Ultra-low Tidal Volume Ventilation in Patients With ARDS and ECMO
NCT03764319 ·Status: COMPLETED ·Phase: NA
-
Flow-controlled Ventilation (FCV) in Moderate Acute Respiratory Distress Syndrome (ARDS) Due to COVID-19
NCT04894214 ·Status: COMPLETED
-
Effect of Transpulmonary MP on Prognosis of Patients With Severe ARDS Treated With VV-ECMO
NCT06062212 ·Status: RECRUITING
-
Patient Dyspnea Under Veno-arterial Extracorporeal Circulation
NCT04815330 ·Status: COMPLETED
-
Value of Non Invasive Hemodynamic Monitoring in Patients Admitted to Respiratory Intensive Care Unit
NCT06110013 ·Status: NOT_YET_RECRUITING
-
Mechanical Ventilation in Internal Medicine Elderly Patients - Choosing Wisely
NCT02379884 ·Status: COMPLETED
-
Effect of ERCC and/or PEEP-ZEEP Maneuver on Oxygenation, Ventilation, and Airway Secretions Removal in MV Patients
NCT06182553 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Practice of Ventilation in Middle-Income Countries
NCT03188770 ·Status: COMPLETED
-
Pulmonary And Renal Support During Acute Respiratory Distress Syndrome
NCT01239966 ·Status: COMPLETED ·Phase: PHASE3
-
New Lung Ventilation Strategies Guided by Transpulmonary Pressure in VV-ECMO for Severe ARDS
NCT02439151 ·Status: COMPLETED ·Phase: NA
-
The Effect of Lt to Rt Shunt Using Veno-veno-arterial Extracorporeal Membrane Oxygenation (ECMO) on Coronary Oxygenation in Lung Transplantation Patients
NCT02859194 ·Status: COMPLETED ·Phase: NA
-
Mechanical Ventilation and Respiratory Muscle Work of Breathing in Acute Respiratory Distress Syndrome (ARDS) Patients
NCT01289600 ·Status: COMPLETED ·Phase: NA
-
Ventilator Strategies in ICU Patients With COVID-19 - a National-wide Retrospective Observational Study.
NCT05102630 ·Status: UNKNOWN
-
ECMO for Critically Ill Patients With Respiratory Failure and/or Circulatory Failure
NCT04031794 ·Status: UNKNOWN
-
Automated Secretion Removal in ICU Patients
NCT05056103 ·Status: TERMINATED ·Phase: NA
-
Diaphragm Protective Ventilation in the Intensive Care Unit
NCT03527797 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Hemodynamic Effects of Transvenous Phrenic Stimulation
NCT04680351 ·Status: UNKNOWN ·Phase: NA
-
Efficacy and Safety of Automated Closed-loop Ventilator vs Conventional Open-loop Ventilator in the Emergency Department
NCT06157073 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Extracorporeal Membrane Oxygenation (ECMO) in Non-intubated Patients With Acute Respiratory Distress Syndrome (ARDS)
NCT01669863 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Generating Evidence in ECMO Ventilation Strategies
NCT05708365 ·Status: COMPLETED ·Phase: NA
-
Strategy of UltraProtective Lung Ventilation With Extracorporeal CO2 Removal for New-Onset Moderate to seVere ARDS
NCT02282657 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Clinical Decision Support for Mechanical Ventilation of Patients With ARDS
NCT03984175 ·Status: UNKNOWN ·Phase: NA
-
Ultra-Protective Lung Ventilation With Extracorporeal CO2 Removal for Moderate ARDS
NCT04903262 ·Status: RECRUITING ·Phase: NA