Intensive Care Units Clinical Trial
Official title:
The Full Closed Loop Ventilation Mode INTELLiVENT-ASV: User-friendly and Effective Mechanical Ventilation in High Risk Postoperative Patient on the Intensive Care Unit
The aim of this study is to investigate whether postoperative ventilation with INTELLiVENT-ASV(adaptive support ventilation) in high risk patients, after cardiothoracic surgery, is as effective, more user-friendly and as safe as compared to the conventional modes of ventilation.
Recently, Hamilton Medical has introduced the new mechanical ventilation mode
"INTELLiVENT-ASV". This is a fully closed ventilation mode that can automatically adjust the
ventilation settings based on the measured End tidal CO2 (ETCO2) and the measured saturation
(SpO2) in both passive and active ventilated patients. Current literature has shown that this
mode is safe to use in patients admitted on the intensive care unit. A pilot study in the
Catharina Hospital Eindhoven confirmed that in postoperative low risk patients on the
intensive care unit INTELLiVENT-ASV is safe. Compared to continuous mandatory or pressure
controlled ventilation with pressure support (conventional mechanical ventilation),
INTELLiVENT-ASV is even as effective as conventional mechanical ventilation, with a
significantly reduced number of interactions with the ventilator. However, available research
about the effectiveness of INTELLiVENT-ASV in postoperative high risk patients is lacking.
Also the knowledge about the user-friendliness of the above modes of mechanical ventilation
for the users is lacking.
This is a prospective randomized study with a control group and a intervention group of
postoperative high risk patients. Through randomization will be determined whether the
participant, after surgery, will be mechanically ventilated with INTELLiVENT-ASV and
Quickwean or with conventional mechanical ventilation.
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