Acute Lung Injury Clinical Trial
Official title:
International Multicenter Randomized Controlled Open Trial on Variable vs. Non-Variable Pressure Support for Weaning From Mechanical Ventilation
In 2008 a new ventilation strategy termed variable Pressure Support ventilation (PSV) was
introduced, which is able to increase the variability of the respiratory pattern independent
from the inspiratory effort. In experimental lung injury, variable PSV was found to improve
gas exchange and decrease the inspiratory effort, while reducing alveolar edema and
inflammatory infiltration compared to conventional(non-variable) PSV. Importantly, variable
PSV reduced peak airway pressure and respiratory system elastance in a variability dependent
manner.In addition, preliminary observations suggest that variable PSV can reduce the work of
breathing and improve patient comfort, but it is not known whether this new ventilatory
strategy is able to speed the weaning from mechanical ventilation.
Since variable PSV can reduce the mean pressure support, it may lead to a faster reduction of
pressure support and, therefore, a shorter weaning period than conventional PSV.
The hypothesis of this study is that variable pressure support ventilation reduces the
duration of mechanical ventilation to non-variable (conventional) pressure support
ventilation.
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