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Adherence to Low Tidal Volume in the Transition to Spontaneous Ventilation in Patients With Acute Respiratory Failure
Sponsor: University of Sao Paulo General Hospital
Summary
The goal of this observational study is to estimate the prevalence of the use of protective ventilation with low tidal volume ventilation in the transition of spontaneous ventilation modes in patients with hypoxemic acute respiratory failure in ICUs in Latin America and its association with patient outcomes. The main questions it aims to answer are: * what is the prevalence of the use of low tidal volume ventilation (VT \<8 mL/kg of predicted body weight) in the first 24 hours of spontaneous ventilation modes in patients with hypoxemic acute respiratory failure? * Is there an association between the rate of adherence to low tidal volume ventilation in spontaneous ventilation modes and the ability to stay off ventilatory support and mortality? Participants are patients with acute respiratory failure under mechanical ventilation. Investigators will collect data on the ventilatory parameters of participants * 24 hours before they begin to be ventilated with spontaneous modes of ventilation * during the first 24 hours of spontaneous ventilation Investigators will collect several patient-centered clinical outcomes at 28 days after study inclusion, including ventilator-free days and mortality
Official title: Adherence to Low Tidal Volume in the Transition to Spontaneous Ventilation Mode in Patients With Acute Respiratory Failure in ICUs in Latin America
Key Details
Gender
All
Age Range
18 Years - 110 Years
Study Type
OBSERVATIONAL
Enrollment
431
Start Date
2023-06-12
Completion Date
2024-08-15
Last Updated
2026-10-13
Healthy Volunteers
No
Interventions
Spontaneous mode of mechanical ventilation
any mode of mechanical ventilation classified as spontaneous or proportional, mainly pressure support ventilation, but also CPAP, APRV, NAVA, PAV+
Locations (10)
Sanatorio Juncal SA
Buenos Aires, Argentina
Hospital Municipal Boliviano Holandés, Universidad Mayor de San Andrés
La Paz, Bolivia
Hospital das Clínicas -HCFMUSP
São Paulo, São Paulo, Brazil
Pontificia Universidad Catolica de Chile
Santiago, Chile
Clinica Universidad de la Sabana
Chía, Colombia
Hospital Eugenio Espejo
Quito, Ecuador
Hospital Civil Fray Antonio Alcalde
Guadalajara, Mexico
Hospital San Roque
Asunción, Paraguay
Hospital Rebagliati
Lima, Peru
Hospital Espanol
Montevideo, Uruguay