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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT02630784
Other study ID # 2014-A00844-43
Secondary ID
Status Terminated
Phase N/A
First received
Last updated
Start date May 27, 2015
Est. completion date May 5, 2018

Study information

Verified date May 2018
Source University Hospital, Grenoble
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

VNI Versus is a clinical, prospective, randomized, cross over study, aiming to compare two mechanical ventilators during non-invasive ventilation for patient suffering from respiratory acidosis.

This study will compare a dedicated ventilator for Non Invasive Ventilation (NIV) functioning with a turbine and with vented mask (exhalation by a calibrated leak) and a dedicated ventilator for Intensive Care Unit (ICU), functioning with non-vented masks and an exhalation valve.

Patient will be randomized before the first NIV session lasting 2 hours. After a two hours wash-out, a second NIV treatment will be delivered with the other ventilator for duration of 2 hours.

Arterial blood samples will be collected at the beginning and the end of each session of NIV. A transcutaneous captor of dioxide carbon pressure (PCO2) will also be used for patient monitoring.


Recruitment information / eligibility

Status Terminated
Enrollment 7
Est. completion date May 5, 2018
Est. primary completion date May 5, 2018
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Dioxide carbon arterial pressure > 60 mmHg

- Blood acidity (pH) <7.36

Exclusion Criteria:-Patient age under 18

- Pregnant woman

- Cognitive disorder (other than the one induced by hypercapnia)

- Acute intoxication with morphine or benzodiazepines

- Patient already equipped prior to admission with a home NIV or Continuous Positive Airway Pressure (CPAP) device

- All contraindications to NIV already described in the French Consensus Conference on NIV, from 2006.

Study Design


Related Conditions & MeSH terms

  • Acidosis
  • Respiratory Acidosis in ICU Patients

Intervention

Procedure:
Non-Invasive Ventilation with Homecare ventilator

Non-Invasive Ventilation with ICU ventilator


Locations

Country Name City State
France CHU de Michallon Grenoble

Sponsors (1)

Lead Sponsor Collaborator
University Hospital, Grenoble

Country where clinical trial is conducted

France, 

References & Publications (7)

Akada S, Takeda S, Yoshida Y, Nakazato K, Mori M, Hongo T, Tanaka K, Sakamoto A. The efficacy of dexmedetomidine in patients with noninvasive ventilation: a preliminary study. Anesth Analg. 2008 Jul;107(1):167-70. doi: 10.1213/ane.0b013e3181732dc2. — View Citation

Carteaux G, Lyazidi A, Cordoba-Izquierdo A, Vignaux L, Jolliet P, Thille AW, Richard JM, Brochard L. Patient-ventilator asynchrony during noninvasive ventilation: a bench and clinical study. Chest. 2012 Aug;142(2):367-376. doi: 10.1378/chest.11-2279. — View Citation

Chiumello D, Chevallard G, Gregoretti C. Non-invasive ventilation in postoperative patients: a systematic review. Intensive Care Med. 2011 Jun;37(6):918-29. doi: 10.1007/s00134-011-2210-8. Epub 2011 Mar 18. Review. — View Citation

Ferrer M, Sellarés J, Valencia M, Carrillo A, Gonzalez G, Badia JR, Nicolas JM, Torres A. Non-invasive ventilation after extubation in hypercapnic patients with chronic respiratory disorders: randomised controlled trial. Lancet. 2009 Sep 26;374(9695):1082-8. doi: 10.1016/S0140-6736(09)61038-2. Epub 2009 Aug 12. — View Citation

Girault C, Bubenheim M, Abroug F, Diehl JL, Elatrous S, Beuret P, Richecoeur J, L'Her E, Hilbert G, Capellier G, Rabbat A, Besbes M, Guérin C, Guiot P, Bénichou J, Bonmarchand G; VENISE Trial Group. Noninvasive ventilation and weaning in patients with chronic hypercapnic respiratory failure: a randomized multicenter trial. Am J Respir Crit Care Med. 2011 Sep 15;184(6):672-9. doi: 10.1164/rccm.201101-0035OC. — View Citation

Janssens JP, Howarth-Frey C, Chevrolet JC, Abajo B, Rochat T. Transcutaneous PCO2 to monitor noninvasive mechanical ventilation in adults: assessment of a new transcutaneous PCO2 device. Chest. 1998 Mar;113(3):768-73. — View Citation

Peter JV, Moran JL, Phillips-Hughes J, Graham P, Bersten AD. Effect of non-invasive positive pressure ventilation (NIPPV) on mortality in patients with acute cardiogenic pulmonary oedema: a meta-analysis. Lancet. 2006 Apr 8;367(9517):1155-63. Review. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Carbon dioxide arterial pressure (PaCO2) Absolute decrease in carbon dioxide arterial pressure (PaCO2) after 2 hours of ventilation After 2 hours of NIV
Secondary Arterial blood acidity (pH) after 2 hours of NIV Correction of arterial blood acidity (pH) after 2 hours of NIV after 2 hours of NIV
Secondary Transcutaneous PCO2 Kinetic of the PaCO2 correction, monitored via transcutaneous PCO2 captor. 6 hours
Secondary Börg dyspnea scale 6 hours
Secondary RASS score 6 hours
Secondary Nurse satisfaction survey 6 hours
Secondary Patient satisfaction survey 6 hours