Early Spontaneous Breathing in Acute Respiratory Distress Syndrome (BiRDS)

NCT01862016 NA UNKNOWN

The care of acute respiratory distress syndrome (ARDS) has been significantly improved by learning from experimental and physiological research works and by a series of randomized controlled trials. The mortality of this syndrome remains however high. Numerous experimental and clinical works demonstrated that a ventilatory mode authorizing the patient to make, from the acute phase, spontaneous breathing cycles superimposed on assistance delivered by the ventilator (BIPAP-APRV mode) allowed to improve gas exchanges and hemodynamic tolerance of the ventilation while reducing the need for sedative drugs. This ventilatory mode could also reduce the risk of diaphragmatic dysfunction induced by ventilation. Consequently, our hypothesis is that this ventilatory mode could allow a reduction of mortality in ARDS patients. The aim of this multicenter, prospective, randomized, controlled, open study is to compare the effects of two ventilatory strategies on the mortality of ARDS patients and placed under mechanical ventilation.

Details

Lead sponsor	University Hospital, Angers
Phase	NA
Status	UNKNOWN
Enrolment	702
Start date	2013-02-28
Completion	2019-05

Conditions

• Acute Respiratory Distress Syndrome

Interventions

• APRV
• arterial blood gas measurement each morning

Primary outcomes

• all cause hospital mortality — hospital discharge
  participants will be followed for the duration of hospital stay, until day 60 maximum.

Countries

France