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Sleep's deficiencies are very common in intensive care. Mechanical ventilation is a known factor in this deterioration.The investigators hypothesize that close-loop ventilation mode (Intellivent-ASV) is able to minimize sleep deterioration, adjusting ventilation to the patient needs.
In intensive care, conventional mechanical ventilation (pressure support) generates apneas and asynchronies during sleep. Intellivent-ASV would be able to avoid apneas, providing controlled cycles when respiratory rate become too low. Moreover, the constant adjustment of ventilatory parameters to the patient needs would avoid asynchronies between the ventilator and the patient ventilatory drive.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intellivent-ASV | Experimental | Patients will receive Intellivent-ASV ventilation during 12 hours |
|
| Conventional ventilation | Active Comparator | Patients will receive pressure support ventilation during 12 hours |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intellivent-ASV | Device | 12 hours of mechanical ventilation with intellivent-ASV |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sleep fragmentation index | = number of awakenings and arousals per hour of sleep | 12 hours |
| Measure | Description | Time Frame |
|---|---|---|
| duration of sleep episodes | 12 hours | |
| Distribution of the sleep | distribution of the sleep during day and night | 12 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Sleep's architecture | proportion of the different phases of sleep (slow waves sleep stage 1, 2, 3 and 4 and Rapid Eye Movement (REM) sleep) | 12 hours |
| ventilation | number of asynchronies and apneas and ventilatory variability |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Emilie Bialais, PhD Student | Cliniques universitaires Saint-Luc- Université Catholique de Louvain | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Intensive Care Unit, Saint Luc university Hospital | Brussels | 1200 | Belgium |
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| Conventional ventilation | Device | 12 hours of mechanical ventilation with pressure support ventilation |
|
|
| 12 hours |
| circadian rhythm | Plasmatic melatonin dosage | 6 hours |