Title
Effects of Remifentanil on Respiratory Function in Mechanically Ventilated Patients
Effects of Remifentanil on Breathing Pattern, Respiratory Effort and Gas Exchange in Mechanically Ventilated Patients.
Phase
Phase 4Lead Sponsor
Fondazione Poliambulanza Istituto OspedalieroStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Respiratory Insufficiency Respiration, Artificial Conscious SedationIntervention/Treatment
remifentanil ...Study Participants
14Sedation is widely used in mechanically ventilated patients. Propofol, benzodiazepines and opioids are the most used drugs. The study hypothesis is that sedation with remifentanil (an opioid drug) could improved respiratory pattern and effort in mechanically ventilated patients with rapid shallow breathing or high respiratory rate.
0.05 mcg.kg-1.min-1 for 30 minutes by continuous endovenous infusion
NaCl 0.9 %
Any patient alternatively receive both remifentanil and isotonic saline (placebo)infusion. The order of infusion is randomized. An interval of 30 minutes is planned between the two infusions.
Inclusion Criteria: pressure support ventilation or CPAP respiratory rate > 35.min-1 respiratory rate/tidal volume > 105 Exclusion Criteria: vasoactive agents (dopamine lower than 5 mcg.kg-1.min-1 is not considered as vasoactive agent) body temperature > 38 °C Glasgow Coma Scale < 9 FIO2 > 0.6 PEEP > 10 cmH2O pH < 7.30