Mechanically Ventilated Patients Clinical Trial
Official title:
Mechanical Ventilation With High Tidal Volume Induces Inflammation In Patients Without Lung Disease
Objective: To compare the effects of a protective versus a conventional ventilatory
strategy, on systemic and in lung production of tumor necrosis factor-alpha (TNF-alpha) and
interleukin-8 (IL-8) in patients without lung disease.
Hypothesis: High tidal volumes induce inflammation in patients without lung disease Design:
Prospective control-randomized study. Patients and Setting: Twenty patients without lung
disease and submitted to mechanical ventilation admitted to one trauma and one general adult
intensive care unit of two different university hospitals.
Interventions: Patients were randomized to receive mechanical ventilation either with tidal
volume (VT) of 10-12 ml/kg predicted body weight (high VT group) or with VT of 5-7 ml/kg
predicted body weight (low VT group) with an O2 inspiratory fraction (FIO2) enough to keep
arterial oxygen saturation > 90% with positive end-expiratory pressure (PEEP) of 5 cmH2O
during 12 hours after admission to the study.
n/a
Allocation: Randomized, Masking: Open Label, Primary Purpose: Supportive Care
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