Cardiovascular Disease Clinical Trial
Official title:
Employing End Tidal Capnography in Continuous Flow Ventricular Assist Device Patients
The purpose of this study is to explore how the End Tidal Carbon Dioxide monitoring via nasal cannula (ETCO2-NC) device may allow for earlier detection of respiratory complications. This device will detect the amount of carbon dioxide exhaled with each breath and may better predict high levels of this than traditional monitoring. This may reduce the number and severity of respiratory issues. A convenience sample of 60 participants either scheduled for continuous flow left ventricular assist device (CF-LVAD) implant or who have been readmitted to an ICU with a CF-LVAD will be recruited and randomized to usual care or usual care plus ETCO2-NC throughout their stay in the ICU.
The purpose of this proposal is to explore the relationships between End Tidal Carbon Dioxide
(ETCO2) via nasal cannula (ETCO2-NC) and routinely measured physiologic and participant
reported parameters in extubated participants who have received a continuous flow left
ventricular assist device (CF-LVAD), and to determine if the addition of ETCO2-NC monitoring
to usual care is associated with decreased incidence and severity of respiratory issues.
A convenience sample of 60 participants either scheduled for mechanical circulatory support
device (MCSD) implant or who have been readmitted to an intensive care unit (ICU) with a
CF-LVAD will be recruited and randomized to usual care or usual care plus ETCO2-NC throughout
their stay in the ICU.
Investigators seek to examine the relationship between ETCO2-NC with traditional physiologic
measures, clinical assessments, and participant reported symptoms in persons with a CF-LVAD.
Additionally, this study intends to compare the respiratory outcomes of extubated persons
with a CF-LVAD randomized to usual care to those receiving usual care plus ETCO2- NC.
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