Acue Respiratory Distress Syndrome Clinical Trial
— ECCO2ROfficial title:
Use of Extracorporeal CO2 Removal in Case of Moderate to Severe Acute Respiratory Distress Syndrome to Apply an Ultraprotective Mechanical Ventilation Strategy
The extracorporeal CO2 removal (ECCO2R) has been recently proposed in case of Acute Respiratory Distress Syndrome (ARDS) in order to reduce pulmonary injuries induced by the mechanical ventilation. A reducing of tidal volume and/or respiratory rate is thus expected using this extracorporeal respiratory support. However, most of existing devices of ECCO2R can apply only a limited extracorporeal flow, often less than 1L/min, which limits the CO2 exchanges and does not allow to reach an ultraprotective ventilation. An extracorporeal flow higher should logically maximalize CO2 removal and allow reducing intensity of mechanical ventilation. Works focused on high-flow ECCO2R (2-3 L/min) in setting of ARDS are therefore mandatory to better understand apprehend the phenomena of gazes changes with this device and confirm the added-value in management of these specific patients.
Status | Recruiting |
Enrollment | 20 |
Est. completion date | February 16, 2025 |
Est. primary completion date | February 16, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Aged from 18 years old - Patient suffering from ARDS including the 3 following parameters during more than 12 hours: PaO2/FiO2 =200 Driving Pressure =15 cmH2O, Tidal Volume = 6 mL/kg PIT Respiratory rate = 28/min - Or patient hospitalized for severe bronchospasm or COPD exacerbation associating a persistent capnia = 50 mmHg despite maximal mechanical ventilation (Vt = 6mL/kg PIT, respiratory rate = 24/min) Exclusion Criteria: - Patients protected by law (Art.L 1121-5, 1121-6, 1121-8 du Code de la santé publique) - Consent refusal from the patient or his/her next of kin and the impossibility to enrol using the emergency procedure - Pregnant or breast feeding patient - Absence of a French Health Care Insurance coverage |
Country | Name | City | State |
---|---|---|---|
France | University Hospital of Montpellier | Montpellier |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Montpellier |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | percentage of patient who obtained a safe ultraprotective ventilation | a safe ultraprotective ventilation is defined by the four following parameters : Tidal Volume = 3 mL/kg Respiratory Rate = 16/min PaCO2 = 45mmHg PaO2 = 55 mmHg. |
12 hours | |
Secondary | Duration of mechanical ventilation | up to Day 30 | ||
Secondary | Hospital length of stay | up to Day 30 | ||
Secondary | ICU length of stay | up to Day 30 | ||
Secondary | Day 30 all-cause mortality | up to Day 30 |