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COMPLETED
NCT06042036

Adherence to Low Tidal Volume in the Transition to Spontaneous Ventilation in Patients With Acute Respiratory Failure

Sponsor: University of Sao Paulo General Hospital

View on ClinicalTrials.gov

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

OTHER

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