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Trial registered on ANZCTR
Registration number
ACTRN12606000268549
Ethics application status
Approved
Date submitted
5/06/2006
Date registered
29/06/2006
Date last updated
28/10/2024
Date data sharing statement initially provided
28/10/2024
Date results provided
28/10/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
The cardiac and respiratory response to recruitment maneuvers (RM) in ventilated patients with acute lung injury.
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Scientific title
The cardiac and respiratory response to a stepwise recruitment maneuver in ventilated patients with acute lung injury.
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Secondary ID [1]
313261
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doi: 10.1177/0885066610383953
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute lung injury
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Acute respiratory distress syndrome (ARDS)
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Condition category
Condition code
Respiratory
1329
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Recruitment maneuver(RM) - before and after. The RM is a stepwise increase in positive end exiratory pressure (PEEP) level from baseline to 40cm H20, with 2 minutes at each PEEP level and then reduced slowly to optimal PEEP (as determined by the SaO2)The RM will last for 10 minutes with no control. Measurement will be made before and after the one intervention (RM) in all subjects.
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Intervention code [1]
1124
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Treatment: Other
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Comparator / control treatment
No comparator.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Shunt Fraction and SaO2
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Assessment method [1]
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Timepoint [1]
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Before and after a recruitment maneuver
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Primary outcome [2]
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Venous oxygen levels
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Assessment method [2]
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Timepoint [2]
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Before and after a recruitment maneuver
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Secondary outcome [1]
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Cardiac function including cardiac output, blood pressure and respiratory function.
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Assessment method [1]
3181
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Timepoint [1]
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Static lung compliance at 2 minute intervals throughout the intervention and at 30 and 60 minutes after the intervention.
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Eligibility
Key inclusion criteria
Ventilated, with ALI/ARDS.
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Minimum age
16
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
ICC with air leak, pneumothorax, asthma, unstable haemodynamics eg. MAP < 60 mmHg.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1 / Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/09/2006
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Actual
17/03/2007
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Date of last participant enrolment
Anticipated
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Actual
24/09/2008
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Date of last data collection
Anticipated
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Actual
30/09/2008
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Sample size
Target
20
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Accrual to date
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Final
20
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Monash University
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Address [1]
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Po Box 527 Frankston 3199
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Monash University
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Address
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Alfred Hospital
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Address [1]
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Alfred Hospital, Commercial Rd Prahran, 3181
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Alfred Hospital Ethics Committee
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Ethics committee address [1]
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https://www.alfredhealth.org.au/research/ethics-research-governance/ethics-committees/alfred-hospital-ethics-committee
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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20/04/2006
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Approval date [1]
2833
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31/07/2006
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Ethics approval number [1]
2833
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138/06
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Ethics committee name [2]
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Monash University Human Research Ethics Committee
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Ethics committee address [2]
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https://www.monash.edu/researchoffice/ethics
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
2834
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Approval date [2]
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31/07/2006
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Ethics approval number [2]
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138/06
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Summary
Brief summary
To look at the response of the heart and lungs to a procedure where the pressure delivered by a mechanical ventilator is increased to increase the level of oxygen delivered to a patient. Subjects are blinded.
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Trial website
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Trial related presentations / publications
Hodgson CL, Tuxen DV, Bailey MJ, Holland AE, Keating JL, Pilcher D, Thomson KR, Varma D. A positive response to a recruitment maneuver with PEEP titration in patients with ARDS, regardless of transient oxygen desaturation during the maneuver. Journal of intensive care medicine. 2011 Jan;26(1):41-9.
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Public notes
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Contacts
Principal investigator
Name
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Carol Hodgson
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Address
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553 St Kilda Road, Melbourne, 3004
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Country
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Australia
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Phone
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+61 48674532
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Carol Hodsgon
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Address
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Physiotherapy Department
Alfred Hospital
Prahran VIC 3181
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Country
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Australia
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Phone
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+61 3 92763450
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Fax
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+61 3 92762702
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Email
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[email protected]
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Contact person for scientific queries
Name
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Associate Professor David Tuxen
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Address
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Intenisve Care Department
Alfred Hospital
Prahran VIC 3181
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Country
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Australia
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Phone
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+61 3 92762000
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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