Ventilated Patients Clinical Trial
Official title:
Closed-loop Versus Conventional Ventilation Mode During Mobilization Period in Critical Care Patients : a Prospective Randomized Crossover Study
Nursing is essential in critically ill patients care but with high risk of hypoxia,
especially during mobilization. Full closed-loop control ventilation is well established for
her safety in unselected ventilated critical care patients with different lung conditions
compared to conventional ventilation.
The aim of this study is to assess the ability of a full closed-loop control ventilation
(Intellivent-ASV, TM) to reduce hypoxia during mobilization period in unselected ventilated
patients.
Prospective randomized cross over study including all consecutive ventilated patient with
predicted duration of ventilation > 48 hours, inspired oxygen fraction < 60% and without
neuromuscular blocking agent.
Patient were randomized to be ventilated with full closed-loop control or conventional
ventilation 30 minutes before the first nursing period after inclusion. The ventilator was
switched in the other mode (conventional or full closed-loop respectively), 30 minutes before
the following nursing period. Between this two consecutive nursing periods, ventilation mode
is choosed by the attending physician.
The primary outcome was the oxygenation measured by pulse oxymetry during the nursing
periods.
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