Evaluating the Patient-Ventilator Synchrony During Mechanical Ventilation in Patients With Acute Lung Injury
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Purpose
The overall purpose to the study is to prospectively study how often patients with and without acute lung injury (ALI) have patient-ventilator asynchrony demonstrated as stacked breaths. The investigators seek to describe the quantity of stacked breaths by continuously recording flow, volume, and pressure waveforms routinely displayed on the vent. The investigators also seek to describe how primary ICU teams manage asynchrony documenting interventions of sedation or vent manipulation and what modality is most successful.
| Condition |
|---|
|
Mechanically Ventilated ICU Patients |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
- double stacks [ Time Frame: number per minute over 5 minutes ] [ Designated as safety issue: No ]ventilator waveform recording
- level of sedation [ Time Frame: baseline ] [ Designated as safety issue: No ]Richmond Agition Sedation Score
- mode of ventilation [ Time Frame: 30min ] [ Designated as safety issue: No ]ventilator adjustment
| Estimated Enrollment: | 30 |
| Study Start Date: | July 2011 |
| Estimated Study Completion Date: | December 2013 |
| Estimated Primary Completion Date: | December 2013 (Final data collection date for primary outcome measure) |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Probability Sample |
adult ICU patients receiving mechanical ventilation
Inclusion Criteria:
age > 18 years intubated and mechanically ventilated diagnosed with acute lung injury (ALI) or requiring mechanical ventilation for reasons other than ALI
Exclusion Criteria:
neurological deficits (acute or chronic) that prevent effective diaphragm activity.
- Neuromuscular disease affecting the diaphragm
- Neuromuscular blockade
Contacts and Locations| Contact: Anne Pohlman, MSN | 773-702-3804 | apohlman@medicine.bsd.uchicago.edu |
| Contact: Jesse Hall, MD | 773-702-1454 | jhall@medicine.bsd.uchicago.edu |
| United States, Illinois | |
| University of Chicago Medical Center | Recruiting |
| Chicago, Illinois, United States, 60637 | |
| Contact: Anne Pohlman, MSN 773-702-3804 apohlman@medicine.bsd.uchicago.edu | |
| Principal Investigator: Jesse Hall, MD | |
| Sub-Investigator: Shruti Patel, MD | |
| Principal Investigator: | Jesse Hall, MD | University of Chicago |
More Information
No publications provided
| Responsible Party: | Russell Booth Hall, Professor of Medicine, University of Chicago |
| ClinicalTrials.gov Identifier: | NCT01541514 History of Changes |
| Other Study ID Numbers: | 11-0172 |
| Study First Received: | January 17, 2012 |
| Last Updated: | January 16, 2013 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Acute Lung Injury Lung Injury Lung Diseases Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on May 23, 2013