Inflammation Clinical Trial
— COVID-DEXOfficial title:
Impact of Dexmedetomidine Infusion on the Time Course and Outcomes of Acute Respiratory Distress Syndrome (ARDS) in Patients Affected by the SARS-CoV-2 (COVID-19) Admitted to Critical Care Unit
A continuous infusion of Dexmedetomidine (DEX) will be administered to 80 patients admitted to Critical Care because of signs of Respiratory Insufficiency requiring non-invasive ventilation. Measurements of respiratory performance and quantification of cellular and molecular inflammatory mediators. The primary outcome will be the avoidance of mechanical ventilation with secondary outcomes duration of mechanical ventilation, avoidance of delirium after sedation and association of mediators of inflammation to outcomes. Outcomes will be compared to a matched historical control (no DEX) series
Status | Not yet recruiting |
Enrollment | 80 |
Est. completion date | June 30, 2020 |
Est. primary completion date | May 30, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 99 Years |
Eligibility |
Inclusion Criteria: - Patients with respiratory insufficiency criteria candidates to non-invasive ventilation techniques (high flow oxygen masks, non-invasive mechanical ventilation) - SpO2 (at FiO2: 0.21) = 93% equivalent to SaO2/FiO2=442 - PaO2/ FiO2 < 300 - Bilateral opacities consistent with pulmonary edema must be present and may be detected on CT or chest radiograph that must not be fully explained by cardiac failure or fluid overload, in the physician's best estimation using available information Exclusion Criteria: - Affected by autoimmune disease - Under specific therapy with Monoclonal Antibodies targeting inflammatory mediators |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Hospital Clinic of Barcelona |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Mechanical ventilation | (Presence/Absence) requirement of mechanical ventilation | expected within first three days (non conclusive due to lack of evidence yet) | |
Secondary | Duration of mechanical ventilation | Duration of mechanical ventilation if it is required (hours from the start) | expected within first seven days (non conclusive due to lack of evidence yet) | |
Secondary | Delirium on recovery from sedation | Delirium criteria as defined in DSM-4 | First 24 hours after retiring dexmedetomidine sedation |
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