Status:

UNKNOWN

Biomarkers of Lung Injury in Hyperinflation in the Mechanical Ventilator Versus Manual Hyperinflation

Lead Sponsor:

Hospital de Clinicas de Porto Alegre

Conditions:

Sepsis

Eligibility:

All Genders

Phase:

NA

Brief Summary

Due to the failure of the respiratory system, many patients admitted to the Intensive Care Units (ICUs) require the institution of invasive mechanical ventilation (MV), aiming at maintaining gas excha...

Detailed Description

This study aims to evaluate the biomarkers of lung injury in the hyperinflation maneuver with mechanical ventilator versus manual hyperinflation with ambu in septic patients under mechanical ventilati...

Eligibility Criteria

Inclusion

  • All patients admitted to the ICPA ICU who have a minimum of 24 hours under mechanical ventilation, coupled to the orotracheal tube (TOT) or tracheostomy (TQT) in pressure-controlled ventilation (PCV) or volume-controlled ventilation (VCV) .
  • Hemodynamically stable patients with mean arterial pressure equal to or greater than 60 mmHg with Noradrenaline doses of less than 0.5 μg / kg / minute.
  • Septic patients.

Exclusion

  • Patients with contraindications to increased positive pressure (non-drained pneumothorax and hemothorax, subcutaneous emphysema).
  • Patients with a diagnosis of adult respiratory distress syndrome (ARDS).
  • Neurosurgical patients who are under intracranial pressure monitoring (ICP);
  • Patients with Peak inspiratory pressure (PIP) = 40 cmH2O and / or PEEP\> 10 cmH2O.
  • Post-surgical patients
  • Patients submitted to extracorporeal circulation (ECC)
  • Chronic renal patients
  • Patients without relatives.

Key Trial Info

Start Date :

March 23 2018

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 20 2019

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT03464071

Start Date

March 23 2018

End Date

December 20 2019

Last Update

July 31 2019

Active Locations (1)

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1

Hospital de Clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil, 90035903