[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"respiratory-failure-patients-treated-with-ecmo\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:respiratory-failure-patients-treated-with-ecmo":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,58],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":32,"overallStatus":45,"whyStopped":4,"lastUpdateSubmitDate":46,"lastUpdatePostDateStruct":47,"startDateStruct":50,"completionDateStruct":52,"leadSponsor":54,"locationsCount":57},"100644735","personalized-ventilator-settings-for-patients-on-ecmo-100644735",false,"NCT07673250","Personalized Ventilator Settings for Patients on ECMO","Personalized Ventilator Settings for Patients on ECMO (PEEPECMO)","PEEPECMO","1. History of Lung or Cardiac Transplantation, or definite bridge to transplantation\n2. Patient is not committed to full support\n3. Treating clinician refusal, or unwillingness to commit to controlled therapeutics (Esophageal Pressure Guided Positive End-Expiratory Pressure and neuromuscular blockade)\n4. Inability to get informed consent from the patient or legally authorized representative (LAR)\n5. Patients with contraindications to esophageal balloon placement or inability to successfully place an esophageal balloon will have personalized PEEP determined by electrical impedance tomography.\n\n   a. Contraindications include recently treated or bleeding varices, esophageal stricture, hematemesis, esophageal trauma, recent esophageal surgery or other contraindication for nasogastric tube placement, or severe coagulopathy.\n6. Severe barotrauma that requires lower mean airway pressure (i.e., PEEP) per the treating physician.\n7. Patients who are pregnant or prisoners.\n8. Has been on V-V ECMO \\> 72 hours.","ALL","18 Years",{"count":20,"type":21},62,"ESTIMATED","INTERVENTIONAL",[24],"NA","While mechanical ventilation can be used to sustain life in those with lung injury, it, can further worsen lung injury or prevent lung healing resulting in high morbidity and mortality as seen in Acute Respiratory Distress Syndrome (ARDS).\n\nUsing extracorporeal membrane oxygenation (ECMO), the highest level of life support also known as the heart-lung machine, investigators may minimize injury from mechanical ventilation to allow the lungs to heal; however, the optimal ventilator strategies while on ECMO are unknown. This study will evaluate personalized ventilator strategy compared to standard of care ventilation.",[27,28,29,30,31],"Acute Respiratory Distress Syndrome (ARDS)","Extracorporeal Membrane Oxygenation","Respiratory Failure Patients Treated With ECMO","Respiratory Failure, ICU","Ventilator Induced Lung Injury",[33,34,35,36,37,38,39,40,41,42,43,44],"Respiratory failure","ARDS","Acute Respiratory Distress Syndrome","ECMO","Pneumonia","Lung injury","Influenza","COVID","Viruses","Personalized ventilator settings","Positive end expiratory pressure","PEEP","NOT_YET_RECRUITING","2026-06-22",{"date":48,"type":49},"2026-06-29","ACTUAL",{"date":51,"type":21},"2026-09-01",{"date":53,"type":21},"2031-06-30",{"name":55,"class":56},"University of California, San Diego","OTHER",1,{"id":59,"slug":60,"hasResults":11,"nctId":61,"briefTitle":62,"officialTitle":63,"acronym":64,"eligibilityCriteria":65,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":66,"enrollmentInfo":67,"targetDuration":4,"studyType":22,"phases":69,"briefSummary":71,"conditions":72,"keywords":77,"overallStatus":45,"whyStopped":4,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":87,"completionDateStruct":89,"leadSponsor":91,"locationsCount":4},"100587932","phase-4-ciprofols-impact-on-oxygenator-function-in-extracorporeal-membrane-oxygenation-ecmo-patients-100587932","NCT06934811","Ciprofol's Impact on Oxygenator Function in Extracorporeal Membrane Oxygenation (ECMO) Patients","Evaluating the Impact of Ciprofol on Oxygenator Performance in Patients Undergoing Extracorporeal Membrane Oxygenation: A Single-Center Randomized Controlled Trial (CIP-OXY Study)","CIP-OXY","1. Inclusion Criteria:\n\n   * Receiving ECMO therapy with an anticipated duration exceeding 72 hours;\n   * Requiring invasive mechanical ventilation;\n   * Requiring sedation and analgesia treatment.\n2. Exclusion Criteria:\n\n   * BMI \\>45 kg\u002Fm²;\n   * Age \\\u003C18 years;\n   * Severe hepatic (Child-Pugh Class C) or renal failure (eGFR \\\u003C15 mL\u002Fmin\u002F1.73m²);\n   * History of severe psychiatric disorders;\n   * Pregnancy;\n   * Refusal to sign informed consent;\n   * Contraindications to midazolam and propofol use.","75 Years",{"count":68,"type":21},30,[70],"PHASE4","This study evaluates the safety and effectiveness of Ciprofol, a new sedative, in critically ill patients receiving Extracorporeal Membrane Oxygenation (ECMO), a life-support system for heart or lung failure. The investigation aims to:\n\nAssess how Ciprofol affects the oxygenator, a critical ECMO component responsible for adding oxygen to blood.\n\nCompare the safety of Ciprofol to midazolam, a commonly used sedative. Eligibility Criteria Adults aged 18 years or older. Patients receiving ECMO and mechanical ventilation for over 72 hours. Individuals requiring sedation for medical procedures. Study Protocol\n\nParticipants will be randomly assigned to one of two groups:\n\nCiprofol Group: Initial sedation dose of 0.1 mg\u002Fkg, adjusted as needed. Midazolam Group: Initial sedation dose of 0.05 mg\u002Fkg, adjusted as needed. Both groups will receive pain management with remifentanil. Sedation levels will be adjusted daily by the clinical team to ensure patient safety and comfort.\n\nOutcome Measures Primary: Oxygenator performance (oxygen and carbon dioxide levels) on Days 3 and 7.\n\nSecondary: Changes in blood triglyceride and clotting marker (D-dimer) levels, oxygenator lifespan before replacement, and safety outcomes such as low blood pressure, respiratory issues, or allergic reactions.\n\nSignificance ECMO patients often require prolonged sedation, but current sedatives like midazolam may contribute to oxygenator damage. Ciprofol's potential for faster recovery and fewer side effects could improve sedation practices and device longevity in this high-risk population.",[73,74,75,29,76],"ECMO Treatment","ARDS (Acute Respiratory Distress Syndrome)","ECMO and Acute MI","Shock, Cardiogenic",[78,36,79,80,81,82,83],"Ciprofol","Oxygenator function","Sedative","Randomized Controlled Trial","Midazolam","Oxygenator thrombosis","2025-04-12",{"date":86,"type":49},"2025-04-18",{"date":88,"type":21},"2025-05-01",{"date":90,"type":21},"2026-12-31",{"name":92,"class":56},"First Affiliated Hospital of Wannan Medical College"]