Closed Loop Ventilation With High Tidal Volumes and Safe Transpulmonary Pressure in COPD (COPD-SAFE)

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorIzmir Dr Suat Seren Chest Diseases and Surgery Education and Research Hospital

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)

Treatment groups

20 Participants
are divided into 4 treatment groups