About this trial
This is a randomized, open-label study comparing intial settings made by clinicians with settings recommandation made by the VentilO application immediately after intensive care unit admission.The study will allow direct comparison of the frequency of acidosis when patients are ventilated using the parameters of the VentilO application versus parameters chosen by the clinician. The variables determined by the clinician or VentilO will be respiratory rate, tidal volume and resulting minute ventilation.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults (> 18 years old)
Intubated patients admitted to intensive care immediately post-operatively after cardiac surgery (all cardiac surgery combined)
Ventilation in controlled mode (Assist Control or SIMV)
Disqualifiers
Absence of anthropometric data (height and weight) of patients available in the patient file
Respiratory cycles mainly spontaneous on arrival
Patient extubated on arrival in intensive care
Trial design
Parallel
Treatments tested in this trial
Clinicians
Other interventionClinicians will determine respiratory parameters for mechanical ventilation upon arrival in the intensive care unit.
VenitlO
DeviceVentilO application (or web platerform) will determine respiratory parameters for mechanical ventilation upon arrival in the intensive care unit.
Treatment groups
Trial outcomes
Primary outcomes
Respiratory acidosis
The frequency of respiratory acidosis on arterial gas after 20 minutes of mechanical ventilation (pH \< 7.35 and PaCO2 \> 45mmHg)
Secondary outcomes
Acid-base disorders on arrival in intensive care
The frequency and severity of acid-base disorders on arrival in intensive care (pH\<7.35 or pH \> 7.45)
Other outcomes
Number of participants with hemodynamic shock - hypotension
Requiring \>1L of volume repletion and/or use of amines at \>0.05 mcg/kg/min or norepinephrine equivalent
Number of participants with a barotrauma
Presence of pneumothorax
Mortality
Intensive care unit mortality
Intensive care unit lenght of stay
Intensive care unit lenght of stay
Sponsors and contacts
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