Clinical Trial: Use of the Medical Device DECAP CO2 for the Treatment of Hypercapnic Respiratory Distress in Patients Under Noninvasive Ventilation

Study Status: Not yet recruiting
Recruit Status: Unknown status
Study Type: Interventional

Official Title: Use of the Medical Device DECAP CO2 for the Treatment of Hypercapnic Respiratory Distress in Patients Under Noninvasive Ventilation

Brief Summary: The patients affected by severe chronic respiratory failure can develop hypercapnic decompensation leading to coma and death in a few hours. At present, the main treatment is noninvasive or invasive ventilation. The noninvasive invasive ventilation requires a minimum of consciousness to insure spontaneous ventilation. In case of noninvasive ventilation impossibility, invasive mechanical ventilation is proposed to patients, which is an aggressive therapy. Regularly, the patients undergo this aggressive therapy without having expressed their opinion. Indeed, a great majority of these patients with severe respiratory insufficiency did not anticipate directives in case of respiratory decompensation (acceptation of aggressive treatments). Efficiency of these aggressive therapies is still uncertain but certainly alters quality of life (discomfort, loss of autonomy…). After complete, clear, loyal and adapted information, a majority of patient do not wish to go on these aggressive therapies. At the time of the decompensation, the patients are incapable to express an opinion because of the hypercapnic narcosis. An extracorporeal CO2 remover device, such as the DECAP CO2, would quickly decrease the hypercapnia what would allow the patient to improve his state of consciousness and so to find the conditions of spontaneous ventilation required for the noninvasive ventilation. The DECAP CO2 device can be used to stop quickly the hypercapnic narcosis and to collect the wills of the patient on the choice of possible aggressive therapies. It is in this last condition that we wish to estimate the DECAP CO2 device.

Detailed Summary:

After validation of the inclusion and exclusion criteria, the patients include in this clinical trial will be randomized between the two arms of the study:

  • Noninvasive ventilation alone
  • Noninvasive ventilation associated with the DECAP CO2 device

Sponsor: University Hospital, Clermont-Ferrand

Current Primary Outcome: Hypercapnia [ Time Frame: H24 ]

Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Blood gases [ Time Frame: H0 ]
  • Duration of judgment disability [ Time Frame: H72 ]
  • Duration of blood pH normalization [ Time Frame: H72 ]
  • Duration of hypercapnia [ Time Frame: H72 ]
  • Glasgow [ Time Frame: H0 ]
  • SAPSII scores(Simplified Acute Physiology Score II) [ Time Frame: H24 ]
  • Duration of noninvasive ventilation [ Time Frame: H72 ]
  • Duration of hospitalization [ Time Frame: H72 ]
  • Mortality [ Time Frame: H72 ]
  • MMSE (Mini Mental State Examination) [ Time Frame: H0 ]
  • ACE ( Aid To Capacity Evaluation)scores [ Time Frame: H0 ]
  • SOFA scores(Sepsis-related Organ ) [ Time Frame: H24 ]
  • Blood gases [ Time Frame: H1 ]
  • Blood gases [ Time Frame: H2 ]
  • Blood gases [ Time Frame: H3 ]
  • Blood gases [ Time Frame: H4 ]
  • Blood gases [ Time Frame: H6 ]
  • Blood gases [ Time Frame: H12 ]
  • Blood gases [ Time Frame: H18 ]
  • Blood Gases [ Time Frame: H24 ]
  • Blood gases [ Time Frame: H32 ]
  • Blood gases [ Time Frame: H40 ]
  • Blood gases [ Time Frame: H48 ]
  • Blood gases [ Time Frame: H56 ]
  • Blood gases [ Time Frame: H64 ]
  • Blood gases [ Time Frame: H72 ]
  • Glasgow [ Time Frame: H4 ]
  • Glasgow [ Time Frame: H8 ]
  • Glasgow [ Time Frame: H24 ]
  • Glasgow [ Time Frame: H36 ]
  • Glasgow [ Time Frame: H48 ]
  • MMSE (Mini Mental State Examination) [ Time Frame: H4 ]
  • MMSE (Mini Mental State Examination) [ Time Frame: H8 ]
  • MMSE (Mini Mental State Examination) [ Time Frame: H24 ]
  • MMSE (Mini Mental State Examination) [ Time Frame: H36 ]
  • MMSE (Mini Mental State Examination) [ Time Frame: H48 ]
  • ACE ( Aid To Capacity Evaluation)scores [ Time Frame: H4 ]
  • ACE ( Aid To Capacity Evaluation)scores [ Time Frame: H8 ]
  • ACE ( Aid To Capacity Evaluation)scores [ Time Frame: H24 ]
  • ACE ( Aid To Capacity Evaluation)scores [ Time Frame: H36 ]
  • ACE ( Aid To Capacity Evaluation)scores [ Time Frame: H48 ]


Original Secondary Outcome: Same as current

Information By: University Hospital, Clermont-Ferrand

Dates:
Date Received: January 7, 2013
Date Started: January 2013
Date Completion: January 2015
Last Updated: January 21, 2013
Last Verified: January 2013