Personalized Ventilator Settings for Patients on ECMO
NCT07673250 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 62
Last updated 2026-08-06
Summary
While mechanical ventilation can be used to sustain life in those with lung injury, it, can further worsen lung injury or prevent lung healing resulting in high morbidity and mortality as seen in Acute Respiratory Distress Syndrome (ARDS).
Using extracorporeal membrane oxygenation (ECMO), the highest level of life support also known as the heart-lung machine, investigators may minimize injury from mechanical ventilation to allow the lungs to heal; however, the optimal ventilator strategies while on ECMO are unknown. This study will evaluate personalized ventilator strategy compared to standard of care ventilation.
Conditions
- Acute Respiratory Distress Syndrome (ARDS)
- Extracorporeal Membrane Oxygenation
- Respiratory Failure Patients Treated With ECMO
- Respiratory Failure, ICU
- Ventilator Induced Lung Injury
Interventions
- DEVICE
-
Personalized Positive End-Expiratory Pressure (PEEP)
The personalized Positive End-Expiratory Pressure (PEEP) will be determined by esophageal manometry or electrical impedance tomography (EIT)
Sponsors & Collaborators
-
National Heart, Lung, and Blood Institute (NHLBI)
collaborator NIH -
University of California, San Diego
lead OTHER
Principal Investigators
-
Mazen F Odish, M.D. · University of California, San Diego
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-09-01
- Primary Completion
- 2030-06-30
- Completion
- 2031-06-30
- FDA Device
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Strategies for Optimal Lung Ventilation in ECMO for ARDS: The SOLVE ARDS Study
NCT01990456 ·Status: UNKNOWN ·Phase: NA
-
Mechanical Ventilation-induced Acute Kidney Injury [AKI]
NCT06638255 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
The Impact of PEEP-guided Electrical Impedance Tomography on Oxygenation and Pulmonary Mechanics in Moderate-to-severe ARDS
NCT06733168 ·Status: RECRUITING ·Phase: NA
-
Transpulmonary Pressure-guided Mechanical Ventilation Strategy in Right Ventricular Protection in Patients With ARDS
NCT07490925 ·Status: RECRUITING ·Phase: NA
-
Trans-pulmonary Pressure in ARDS
NCT02416037 ·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
-
Open Lung Strategy, Gas Distribution and Right Heart Function in ARDS Patients
NCT03202641 ·Status: TERMINATED ·Phase: NA
-
Effect of Transpulmonary MP on Prognosis of Patients With Severe ARDS Treated With VV-ECMO
NCT06062212 ·Status: RECRUITING
-
Enhanced Lung Protective Ventilation With ECCO2R During ARDS
NCT03525691 ·Status: TERMINATED ·Phase: NA
-
Ultra-Low Tidal Volume Mechanical Ventilation in ARDS Through ECMO
NCT04832789 ·Status: UNKNOWN ·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
-
Esophageal Pressure-Guided Optimal PEEP/mPaw in CMV and HFOV: The EPOCH Study
NCT02342756 ·Status: UNKNOWN ·Phase: NA
-
Closed Loop Mechanical Ventilation and ECMO
NCT04925518 ·Status: COMPLETED ·Phase: NA
-
Pulmonary Physiologic Assessment of Patients on Veno-arterial Extracorporeal Membrane Oxygenation (VA ECMO)
NCT04739007 ·Status: WITHDRAWN
-
The Impact of Low Versus High Positive End-expiratory Pressure on Diaphragm Function, Ventilation Efficiency, and Lung Mechanics
NCT07188038 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Ultra Protective Ventilation During Venoarterial Extracorporeal Membrane Oxygenation (UPV-ECMO)
NCT03041428 ·Status: COMPLETED ·Phase: NA
-
Comparison of Different PEEP Strategies in Moderate-to-Severe ARDS Based on Various Bedside Assessment Tools
NCT07741916 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Titration of PEEP During Mechanical Ventilation in Patients With ARDS Using Electrical Impedance Tomography.
NCT02596178 ·Status: WITHDRAWN ·Phase: NA
-
Optimizing Breathing and Blood Flow in Patients Treated With VA ECMO
NCT07141524 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
EIT-Guided PEEP Optimization in Trauma and Postoperative ARDS
NCT07313644 ·Status: RECRUITING ·Phase: NA
-
Effect of Electric Impedance Tomography-Guided PEEP Titration
NCT05736185 ·Status: COMPLETED ·Phase: NA
-
Extracorporeal Carbon Dioxide Removal Using PrismaLung in Reducing Ventilator Induced Lung Injury
NCT06321497 ·Status: RECRUITING
-
Biomarkers, Genomics, Physiology in Critically Ill and ECMO Patients
NCT04669444 ·Status: UNKNOWN ·Phase: NA
-
Free for Weaning ECMO vs Respiratory Driven Study
NCT06876415 ·Status: RECRUITING ·Phase: NA
-
Strategy of UltraProtective Lung Ventilation With Extracorporeal CO2 Removal for New-Onset Moderate to seVere ARDS
NCT02282657 ·Status: COMPLETED ·Phase: PHASE1/PHASE2