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Modern intensive care units (ICUs) are increasingly adopting newer modes of mechanical ventilation such as adaptive pressure control (APC) modes but there are limited data available regarding risks and benefits of newer modes versus traditional ventilation modes. APC can inadvertently deliver high tidal volumes, which maybe harmful. High tidal volumes may be unrecognized by the provider, due to the complexities of ventilator algorithms and patient interactions. The objective of this aim is to identify risk factors for excess tidal volumes in patients on adaptive pressure control.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Adaptive Pressure Control | On adaptive pressure control mode with acute respiratory failure |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| lung mechanics, respiratory drive and effort | Other | Patient lung mechanics and respiratory drive and effort will be measured |
|
| Measure | Description | Time Frame |
|---|---|---|
| Excess tidal volume | Exhaled tidal volume greater than 2cc/kg ideal body weight above intended or set tidal volume | From enrollment to end of monitoring at 4 hours |
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Inclusion Criteria:
Exclusion Criteria:
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Human subjects admitted to the intensive care unit requiring invasive mechanical ventilation for acute respiratory failure on adaptive pressure control modes of ventilation
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| Name | Affiliation | Role |
|---|---|---|
| Alex Pearce, MD | University of California, San Diego | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California San Diego Health | La Jolla | California | 92037 | United States |
reasonable requests for IPD will be considered by the investigators
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| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012131 | Respiratory Insufficiency |
| ID | Term |
|---|---|
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
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