About this trial
This study evaluates the safety and efficacy of high tidal volumes generated by "Adapted Support Ventilation (ASV) mode' in mechanically ventilated severe COPD patients. Every patient will be ventilated consecutively with ASV and Volume Control (VC) modes at 2 different levels of minute volume in 2 sets. ASV mode is expected to be safe measured by adequate inspiratory transpulmonary pressures and expected to be as effective as VC mode with lower intrinsic positive end expiratory pressure (iPEEP) levels.
Eligibility criteria
Qualifiers
Acute exacerbation of Chronic Obstructive Lung Disease
Being intubated for less than 24 hours
Not being planned to be extubated in 24 hours
Expiratory time constant (RCexp) more than > 2.0 s
Disqualifiers
Restrictive lung pathologies
Impaired hemodynamic status
Esophageal pathologies
Bronchopleural fistula
Trial design
Treatments tested in this trial
- Minute volume target of 100%
- Minute volume target to reach PaCO2 less than 45% (high tidal volume)