Association Between Tidal Volume and Mortality in Pressure Support in Adults Under Invasive Mechanical Ventilation
NCT06195475 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 2607
Last updated 2025-05-15
Summary
The goal of this Multicenter retrospective cohort study is to assessing the association between the development of a tidal volume magnitude \> 8 ml/kg of predicted body weight during the first transition to partial support phase in pressure support mode and mortality in the intensive care unit in a general population of patients older than 18 years who require invasive mechanical ventilation, in contrast to individuals who develop tidal volume ≤ 8 ml/kg of predicted body weight. Secondarily, assess the association between elevated VT (tidal volume) during the initiation of the partial support phase in pressure support mode and ventilator-free days, failure in transitioning to spontaneous ventilation, and success in weaning from mechanical ventilation.
The main question it aims to answer are:
• Does exposure to tidal volumes greater than 8 ml/kg of predicted body weight during the first 48 hours of pressure support mode mechanical ventilation increase the risk of death in the intensive care unit compared to those who develop a tidal volume equal to or less than 8 ml/kg of predicted body weight in subjects older than 18 years requiring invasive mechanical ventilation?
The clinical investigation aims to determine whether exposure to tidal volumes greater than 8 ml/kg of predicted body weight during the initial 48 hours of pressure support mode mechanical ventilation is associated with an increased risk of mortality in the intensive care unit when compared to individuals who maintain a tidal volume equal to or less than 8 ml/kg of predicted body weight. This analysis involves subjects aged 18 years and older who require invasive mechanical ventilation
Conditions
- Respiration, Artificial
Interventions
- OTHER
-
high vs low tidal volume
The clinical investigation aims to determine whether exposure to tidal volumes greater than 8 ml/kg of predicted body weight during the initial 72 hours of pressure support mode mechanical ventilation is associated with an increased risk of mortality in the intensive care unit when compared to individuals who maintain a tidal volume equal to or less than 8 ml/kg of predicted body weight.
Sponsors & Collaborators
-
Javier Hernán Dorado
collaborator UNKNOWN -
Joaquin Perez
collaborator UNKNOWN -
Sanatorio Anchorena San Martin
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-11-30
- Primary Completion
- 2024-04-15
- Completion
- 2024-10-15
Countries
- Argentina
More Related Trials
-
Non-invasive Ventilation Versus Continuous Positive Airway Pressure in Cardiogenic Pulmonary Edema
NCT02977572 ·Status: COMPLETED ·Phase: NA
-
Monitoring of Breathing Effort Through Pressure Time Product Measurement Using Airway Occlusion Pressure
NCT06040138 ·Status: RECRUITING
-
Neural Pressure Support and Non-invasive Estimation of Transpulmonary Pressure in Spontaneous Ventilation Modes
NCT05574829 ·Status: UNKNOWN
-
Variable Pressure Support Trial
NCT01769053 ·Status: TERMINATED ·Phase: NA
-
Third International Study on Mechanical Ventilation
NCT01093482 ·Status: COMPLETED
-
Effectiveness of Low Volume and Low Pressure in Severe Hypoxemic Patients
NCT06513299 ·Status: ACTIVE_NOT_RECRUITING
-
Clinical Characteristics and Outcomes of Patients With COVID-19 on Mechanical Ventilation in Argentina
NCT04611269 ·Status: COMPLETED
-
Efects of Noninvasive Mechanical Ventilation and Conventional Mechanical Ventilation in Patients With Severe Comunity Pneumonia
NCT00523497 ·Status: TERMINATED ·Phase: NA
-
Patient-ventilator Interactions in Long Term Non-invasive Ventilation: Influence of Back-up Frequency
NCT01130090 ·Status: COMPLETED ·Phase: NA
-
Quantification of Inspiratory Effort Through Nasal Pressure in Patients Undergoing Weaning From Invasive Mechanical Ventilation and Correlation With Clinical Outcomes
NCT05282238 ·Status: NOT_YET_RECRUITING
-
Comparison Between IMV and SIMV/PS for Ventilatory Support of Children: a Randomized Clinical Trial
NCT00549809 ·Status: COMPLETED ·Phase: PHASE3
-
Ventilator Hyperinflation and Hemodynamics
NCT03557645 ·Status: COMPLETED ·Phase: NA
-
New Automated System for Continuous Real-time Monitoring of Transpulmonary Pressure
NCT03945409 ·Status: UNKNOWN
-
Respiratory Mechanics and Gas Exchange Characteristics in Patient With SARS-CoV-2
NCT04486729 ·Status: UNKNOWN
-
Ventilatory Variables in Subjects With Acute Respiratory Distress Syndrome Due to COVID-19
NCT05946525 ·Status: COMPLETED
-
Predicting Fluid Responsiveness Using Transiently Increased Intrathoracic Pressure in Mechanically Ventilated Patients
NCT03413657 ·Status: COMPLETED ·Phase: NA
-
Noninvasive Ventilation After Extubation in Hypercapnic Patients
NCT01047852 ·Status: COMPLETED ·Phase: NA
-
The Obesity-hypoventilation Syndrome Study of Clinical Characteristics and Predictive Factors of Response to Treatment
NCT00938977 ·Status: COMPLETED ·Phase: NA
-
Epidemiology and Treatment Strategy of Open Respiratory Phenotype in Critically Ill Patients
NCT06393179 ·Status: RECRUITING ·Phase: NA
-
Assessment of Airway Opening Pressure in Invasively Ventilated Children
NCT07262541 ·Status: RECRUITING ·Phase: NA
-
Clinical Validation of Continuous and Non-invasive Monitoring of Effective Pulmonary Volume.
NCT04045262 ·Status: COMPLETED
-
O2 Consumption And CO2 Production After Hemodynamic Optimization In Shock
NCT07107724 ·Status: RECRUITING
-
Trophic Nutrition in Patients Submitted to High Flow Oxygen Therapy and / or Non Invasive Mechanical Ventilation
NCT03728452 ·Status: COMPLETED
-
Non-Invasive Ventilation Versus Continuous Positive Airway Pressure in Cardiogenic Pulmonary Edema: a Multicentre Study
NCT00785174 ·Status: COMPLETED ·Phase: PHASE3
-
Non-Positive Pressure Ventilation in Hypoxemic Patients
NCT00925860 ·Status: COMPLETED ·Phase: PHASE4