Inflammation During ECMO Therapy and ECMO Weaning
NCT05640635 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2024-06-24
Summary
The goal of this interventional clinical trial is to compare patients who undergo ECMO therapy for treatment of acute respiratory distress syndrome (ARDS) and a randomized into one of two possible weaning strategy groups.
Group 1: Weaning from ventilator occurs before ECMO weaning.
Group 2: Weaning from ECMO occurs before weaning from ventilator.
This study investigates which one of these strategies is more indulgent for the lung, and leads to less inflammation and therefore less potential side effects and an overall more favourable clinical course.
As a primary criterion, measure of IL-6 in blood samples will beused. As secondary criterions, SOFA score at various time points, ventilation pressures, lung injury score (LIS), length of stay in the intensive care unit, and ventilator-associated pneumonia as well as levels of inflammatory cells and cytokines in both blood samples and bronchoalveolar lavage at different time points will be determined.
Conditions
- Acute Respiratory Distress Syndrome
Interventions
- PROCEDURE
-
Ventilator weaning first
Ventilator weaning initiated and completed before start of ECMO weaning.
- PROCEDURE
-
ECMO weaning first
ECMO weaning initiated and completed before start of ventilator weaning.
Sponsors & Collaborators
-
University Hospital Tuebingen
lead OTHER
Principal Investigators
-
Peter Rosenberger, Prof. · University Hospital Tuebingen
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-01-01
- Primary Completion
- 2026-01-31
- Completion
- 2026-12-31
Countries
- Germany
Study Locations
More Related Trials
-
Mechanical Ventilation Reconnection for One Hour After Spontaneous Breathing Trial
NCT05999526 ·Status: COMPLETED ·Phase: NA
-
Low Frequency, Ultra-low Tidal Volume Ventilation in Patients With ARDS and ECMO
NCT03764319 ·Status: COMPLETED ·Phase: NA
-
The Effects of Mechanical Insufflation-exsufflation on Airway Mucus Clearance in the ICU
NCT03178565 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of a Systematic Approach to Weaning From Mechanical Ventilation
NCT01482429 ·Status: COMPLETED ·Phase: NA
-
IMV to Accelerate Recovery of Lung Function in Veno-venous Extracorporeal Membrane Oxygenation; Lung Rest Or Moderate Mechanical Ventilation in ECMO
NCT06006676 ·Status: RECRUITING ·Phase: NA
-
One-Hour Positive Pressure Ventilation After a T-Piece Spontaneous Breathing Trial
NCT07324382 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Pilot Study on Pairing Sedation Strategies and Weaning
NCT02219659 ·Status: COMPLETED ·Phase: NA
-
CaRe-ECMO Program on ECMO Weaning
NCT05035797 ·Status: RECRUITING ·Phase: NA
-
Trial of Venovenous ECMO to De-Sedate, Extubate and Mobilise in Hypoxic Respiratory Failure
NCT05562505 ·Status: RECRUITING ·Phase: NA
-
Hemodynamic Comparison of Peripheral and Central VA ECMO.
NCT05669183 ·Status: RECRUITING
-
Ultrasound Assessment During Weaning from Mechanical Ventilation
NCT06609798 ·Status: ENROLLING_BY_INVITATION
-
One-Hour Positive Pressure Ventilation After a Pressure Support Spontaneous Breathing Trial
NCT07324460 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Cardiorespiratory Changes in Patients Being Weaned Off Mechanical Ventilation
NCT00852891 ·Status: COMPLETED
-
Direct Extubation Versus Extubation After a Spontaneous Breathing Trial in Patients at Low Risk of Extubation Failure
NCT07019636 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Veno-arterial ExtraCorporeal Membrane Oxygenation to Reduce Morbidity and Mortality Following Lung TransPlant
NCT05664204 ·Status: RECRUITING ·Phase: NA
-
Ultrasound to Evaluate Failure of Liberation From Mechanical Ventilation
NCT02723565 ·Status: COMPLETED
-
Extracorporeal Support for Respiratory Insufficiency (ECMO)
NCT00000562 ·Status: COMPLETED ·Phase: PHASE3
-
Ventilatory Settings and Monitoring Variables Associated With Weaning Failure in Critically Ill Patients
NCT06683781 ·Status: RECRUITING
-
Incidence and Risk Factors of Weaning-induced Cardiac Dysfunction: Results From a Multicenter, Observational Study
NCT05318261 ·Status: COMPLETED
-
Deflating the Tracheostomy Tube Cuff and Time for Decannulation
NCT05395728 ·Status: UNKNOWN ·Phase: NA
-
Therapy Study of Automated Protocolized vs. Physician-Directed Non-Protocolized Weaning
NCT00606788 ·Status: SUSPENDED ·Phase: NA
-
Ultra-Low Tidal Volume Mechanical Ventilation in ARDS Through ECMO
NCT04832789 ·Status: UNKNOWN ·Phase: NA
-
Automated Ventilator Controlled Weaning vs Daily Spontaneous Breathing Trial in Difficult to Wean ICU Patients
NCT00813839 ·Status: WITHDRAWN ·Phase: PHASE4
-
Comparison of Two Different Types of Mechanical Ventilation Weaning in Patients in the ICU
NCT02122016 ·Status: COMPLETED ·Phase: PHASE4
-
Ultrasonic Weaning Criteria in Prolonged Ventilation
NCT05794867 ·Status: COMPLETED