Unique ID issued by UMIN | UMIN000037317 |
---|---|
Receipt number | R000042306 |
Scientific Title | Effect of heat and moisture exchanger filter on end-tidal carbon dioxide measurement with mainstream capnography in critically ill patients: A single-center prospective observational study |
Date of disclosure of the study information | 2019/07/16 |
Last modified on | 2022/08/08 11:47:02 |
Effect of heat and moisture exchanger filter on end-tidal carbon dioxide measurement with mainstream capnography in critically ill patients: A single-center prospective observational study
Effect of heat and moisture exchanger filter on end-tidal carbon dioxide measurement with mainstream capnography in critically ill patients: A single-center prospective observational study
Effect of heat and moisture exchanger filter on end-tidal carbon dioxide measurement with mainstream capnography in critically ill patients: A single-center prospective observational study
Effect of heat and moisture exchanger filter on end-tidal carbon dioxide measurement with mainstream capnography in critically ill patients: A single-center prospective observational study
Japan |
Adult critically ill patients receiving mechanical ventilation
Intensive care medicine | Adult |
Others
NO
To investigate whether end-tidal carbon dioxide (EtCO2) measurement on the ventilator side of the heat and moisture exchanger filter (HME) is non-inferior to EtCO2 measurement on the patient side of the HME in adult critically ill patients receiving mechanical ventilation.
Bio-equivalence
Not applicable
Absolute differences between arterial partial pressure of carbon dioxide (PaCO2) and EtCO2.
Delta EtCO2 of ventilator side= absolute differences between PaCO2 and EtCO2 measured on the ventilator side of the HME filter.
Delta EtCO2 of patient side= absolute differences between PaCO2 and EtCO2 measured on the patient side of the HME filter.
Observational
20 | years-old | <= |
Not applicable |
Male and Female
1. Adult patients (20 years or older) admitted to the intensive care unit and received mechanical ventilation through orotracheal or tracheostomy tube.
2. The respiratory circuit was humidified with heat and moisture exchanger filter.
3. Patients with arterial line.
1.Pregnancy
2.Patients previously enrolled in this study
3.Refusal of study participation
4.Patients do not meet the safety criteria.
If patients have any of the following physiological signs, the patients are judged not meeting the safety criteria.
Ventilator settings
-PEEP 10 cmH2O or more
-Fraction of inspired oxygen 0.6 or more
Heart rate
-below 40 bpm, 130 bpm or more
Mean arterial pressure
-below 60 mm Hg, 110 mm Hg or more
Oxygen saturation
-below 90%
Respiratory rate
-40 breaths per minute or more
Body temperature
-below 36 degrees Celsius, 38.5 degrees Celsius or more
5. Treating physicians judged that study participation of the patient is inappropriate.
35
1st name | Satoshi |
Middle name | |
Last name | Tamashiro |
Okinawa Chubu Hospital
Department of Clinical engineering
904-2293
281 Miyazato, Uruma, Okinawa 904-2293, Japan
098-973-4111
tamashiro_satoshi@hosp.pref.okinawa.jp
1st name | Satoshi |
Middle name | |
Last name | Tamashiro |
Okinawa Chubu Hospital
Department of Clinical engineering
904-2293
281 Miyazato, Uruma, Okinawa 904-2293, Japan
098-973-4111
tamashiro_satoshi@hosp.pref.okinawa.jp
Okinawa Chubu Hospital, Department of Clinical engineering
None
Self funding
Okinawa Chubu Hospital Research ethics committees
281 Miyazato, Uruma, Okinawa, Japan
098-973-4111
tamashiro_satoshi@hosp.pref.okinawa.jp
NO
沖縄県立中部病院(沖縄県)
2019 | Year | 07 | Month | 16 | Day |
Published
https://link.springer.com/article/10.1007/s10877-022-00901-6
37
Completed
2019 | Year | 06 | Month | 19 | Day |
2019 | Year | 06 | Month | 19 | Day |
2019 | Year | 07 | Month | 16 | Day |
2022 | Year | 07 | Month | 31 | Day |
2019 | Year | 12 | Month | 25 | Day |
2022 | Year | 04 | Month | 01 | Day |
Sample size calculation: The calculated sample size is 35 patients based on a non-inferiority margin of +1mm Hg for a difference in delta EtCO2 of ventilator side minus delta EtCO2 of patient side, with a 1-sided alpha of 5%, and 90% power, assuming standard deviation of the difference as 1.5 mmHg. A non-inferiority margin of +1mm Hg was set based on minimum clinically meaningful difference. The standard deviation of 1.5 mm Hg was set based on the results of pilot sampling.
Statistical analysis: We will declare non-inferiority if the upper limit of the 1-sided 95% interval of the difference in delta EtCO2 of ventilator side minus delta EtCO2 of patient side is less than the non-inferiority margin of + 1mm Hg.
2019 | Year | 07 | Month | 09 | Day |
2022 | Year | 08 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000042306