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NCT05668637Recruiting

Evaluation and Further Development of an Artificial Intelligence-based Algorithm for Clinical Decision Support

Technische Universität Dresden

Start Date

1/1/2023

Completion Date

9/1/2026

Summary

Invasive mechanical ventilation is one of the most important and life-saving therapies in the intensive care unit (ICU). In most severe cases, extracorporeal lung support is initiated when mechanical ventilation is insufficient. However, mechanical ventilation is recognised as potentially harmful, because inappropriate mechanical ventilation settings in ICU patients are associated with organ damage, contributing to disease burden. Studies revealed that mechanical ventilation is often not provided adequately despite clear evidence and guidelines. Variables at the ventilator and extracorporeal lung support device can be set automatically using optimization functions and clinical recommendations, but the handling of experts may still deviate from those settings depending upon the clinical characteristics of individual patients. Artificial intelligence can be used to learn from those deviations as well as the patient's condition in an attempt to improve the combination of settings and accomplish lung support with reduced risk of damage.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: • Subjects who are 18 years or older and receive invasive mechanical ventilation for \> 4 hours Exclusion Criteria: • Patients receiving one-lung ventilation

Interventions

OTHER

Artificial Intelligence-based Decision support

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Conditions

Invasive Mechanical Ventilation

Locations

Cleveland Clinic Foundation, Cleveland, USA

Cleveland, Ohio 44195

United States

University Hospital Carl Gustav Carus Dresden

Dresden,

Germany

Institut Fur Angewandte Informatik (Infai) Ev

Leipzig,

Germany

Institut Mihajlo Pupin

Belgrade,

Serbia

Better Care Sl

Sabadell,

Spain

Fundacio Parc Tauli

Sabadell,

Spain

Fundacion Publica Andaluza Progreso Y Salud

Seville,

Spain

Inselspital, Universitätsspital Bern

Bern,

Switzerland