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At a Glance
Age
18 and older
Sex
Any
Study type
Interventional
Purpose
Diagnostic
Participants needed
40 (estimated)
Sponsor
Mahidol University · Other
Who this trial is looking for
This trial is looking for adult patients who have recently had major abdominal surgery and need breathing support in the ICU. Participants will be monitored to see how they adapt to different levels of breathing assistance.
Are You a Good Fit for This Trial?
You may be able to join if
I am at least 18 years old
I have had major abdominal surgery recently
I am receiving breathing support with a machine
I have been on breathing support for more than 48 hours
I am stable and not expected to be taken off the machine in 6 hours
My breathing rate is less than 35 breaths per minute
My oxygen level is at least 90%
My heart rate is less than 140 beats per minute
You may not be able to join if
I have a known neuromuscular disease affecting my breathing
I am unstable and need more support to maintain my blood pressure
I have severe breathing failure requiring high pressure support
I am deeply sedated and not alert
I have a history of chronic obstructive pulmonary disease
I have a history of another obstructive lung disease
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
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This physiological observational study will assess respiratory drive and inspiratory effort across varying levels of pressure support ventilation (PSV) in adult surgical ICU (SICU) patients after major abdominal surgery. By using non-invasive bedside indices (airway occlusion pressure at 100 ms after the onset of inspiration \[P0.1\], maximum negative occlusion pressure \[Pocc\], and pressure musc…
This physiological observational study will assess respiratory drive and inspiratory effort across varying levels of pressure support ventilation (PSV) in adult surgical ICU (SICU) patients after major abdominal surgery. By using non-invasive bedside indices (airway occlusion pressure at 100 ms after the onset of inspiration \[P0.1\], maximum negative occlusion pressure \[Pocc\], and pressure muscle index \[PMI\]), we aim to quantify how patients adapt to changes in ventilatory support and determine patterns of under- and over-assistance. Findings may inform optimal titration of PSV to reduce complications and improve clinical outcomes.
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Eligibility Criteria
Inclusion Criteria:
* Adult patients (≥18 years) admitted to the surgical ICU
* Recent major abdominal surgery (intra-peritoneal operation without primary thoracic involvement, including luminal resection and/or resection of a gastrointestinal solid organ) requiring postoperative ICU care
* Receivi…
Inclusion Criteria:
* Adult patients (≥18 years) admitted to the surgical ICU
* Recent major abdominal surgery (intra-peritoneal operation without primary thoracic involvement, including luminal resection and/or resection of a gastrointestinal solid organ) requiring postoperative ICU care
* Receiving invasive mechanical ventilation in pressure support ventilation (PSV) mode at the time of enrollment
* Duration of invasive mechanical ventilation \>48 hours
* Clinically stable, with no plan for extubation within 6 hours of study enrollment, defined by all of the following: Respiratory rate \<35 breaths/min, SpO₂ ≥90%, Heart rate \<140 bpm, No visible accessory muscle use, Hemodynamically stable without escalation of vasopressor support during the past hour, Able to tolerate short-term adjustments in PSV level as per protocol
Exclusion Criteria:
* Known neuromuscular disease affecting respiratory muscle function
* Hemodynamic instability requiring escalation of vasopressor support
* Severe hypoxemic respiratory failure requiring Positive End-Expiratory Pressure (PEEP) \>10 cmH₂O or FiO₂ \>60%
* Deep sedation (Richmond Agitation-Sedation Scale \[RASS\] score \< -3) or ongoing neuromuscular blockade
* History of chronic obstructive pulmonary disease (COPD) or other obstructive lung disease
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