Effect of Two Modes of Mechanical Ventilation on Metabolic Demands and Respiratory Mechanics
Biphasic Intermittent Positive Airway Pressure Versus Airway Pressure Release Ventilation in Critically Ill Trauma Patients: Metabolic Demands and Respiratory Mechanics
1 other identifier
interventional
120
0 countries
N/A
Brief Summary
Adequate supply of energy is an essential part of the overall treatment of critically ill patients and adjustment of energy requirements of patients is important clinical evolution .The adequate assessment of energy expenditure is the basis of effective nutri¬tional planning.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Jan 2020
Typical duration for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 18, 2019
CompletedFirst Posted
Study publicly available on registry
December 19, 2019
CompletedStudy Start
First participant enrolled
January 1, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2022
CompletedDecember 20, 2019
December 1, 2019
2 years
December 18, 2019
December 18, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
energy expenditure
energy expenditure will be measured using indirect calorimetry via a metabolic module on General Electric ventilator
48 hours after enrollment
Secondary Outcomes (3)
arterial oxygen tension
48 hours after enrollment
arterial carbon dioxide tension
48 hours after enrollment
arterial pH
48 hours after enrollment
Study Arms (2)
BIPAP group
ACTIVE COMPARATORBiphasic Intermittent Positive Airway Pressure group
APRV group
ACTIVE COMPARATORAirway Pressure Release Ventilation group:
Interventions
Eligibility Criteria
You may qualify if:
- Critically ill trauma patients need mechanical ventilation
You may not qualify if:
- Pregnant patient.
- Air leak from the chest tube.
- Patient with body temperature \> 39 Celsius.
- Acute hepatitis or severe liver disease (Child-Pugh class C).
- Left ventricular ejection fraction less than 30%.
- Heart rate less than 50 beats/min.
- Second or third-degree heart block.
- Systolic pressure \< 90 mmHg despite of infusion of 2 vasopressors.
- Patients with known endocrine dysfunction.
- Patient with hypothermia
- Patient on Positive end expiratory pressure more than 14 cmH2o
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- assistant professor
Study Record Dates
First Submitted
December 18, 2019
First Posted
December 19, 2019
Study Start
January 1, 2020
Primary Completion
December 31, 2021
Study Completion
June 1, 2022
Last Updated
December 20, 2019
Record last verified: 2019-12
Data Sharing
- IPD Sharing
- Will not share