OVO: Target Volume Mode Controlled Ventilator in Obesity Hypoventilation Syndrome
Study Details
Study Description
Brief Summary
The purpose of this study is to investigate the evolution of daytime partial pressure of carbon dioxide in the blood (PaCO2) after 6 weeks of noninvasive ventilation-pressure support ventilation (NIV-PSV) with target volume versus continuous positive airway pressure (CPAP) alone versus NIV-PSV.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Compare the efficacy between 3 ventilation modes (CPAP, PSV and PSV with Target Volume) on patients with obesity hypoventilation syndrome already treated with CPAP but with persistent desaturations.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: NIV-PSV without Target Volume Pressure Support Non Invasive Ventilation without Target Volume |
Device: Breas Vivo 40
The Vivo 40 will be used either in CPAP mode, PSV mode without Target Volume or PSV mode with Target Volume
Other Names:
|
Active Comparator: NIV-PSV with Target Volume Non Invasive Pressure Support Ventilation with Target Volume set |
Device: Breas Vivo 40
The Vivo 40 will be used either in CPAP mode, PSV mode without Target Volume or PSV mode with Target Volume
Other Names:
|
Active Comparator: NIV-CPAP Pressure Support Ventilation in CPAP mode |
Device: Breas Vivo 40
The Vivo 40 will be used either in CPAP mode, PSV mode without Target Volume or PSV mode with Target Volume
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Evolution of daytime PaCO2 of NIV without target volume, with Target volume and with CPAP alone [6 weeks]
Secondary Outcome Measures
- Evolution in dyspnea scores (BDI/TDI and Simon Score) [6 weeks]
- Evolution of subjective and objective sleepness (Osler) [6 weeks]
- Cardiovascular parameters on Arterial strength (pulse velocity) and Endothelial function (Post ischemic test) [6 weeks]
- Evolution of blood inflammation (IL6, TNFα et CRP) [6 weeks]
- Evolution of insulin résistance [6 weeks]
- Compliance (hours of treatment) [6 weeks]
- Evolution of quality of ventilation (Leaks, asynchronism, others events) [6 weeks]
- Sleep quality (PSG) between the 3 groups at 6 weeks [6 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients from 20 to 75 years old.
-
Body mass index > 32 kg/m2
-
Nocturnal oxygen desaturation 5 mn ≤ 88% under CPAP,
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PaCO2 > 5,9 kPa in diurnal, spontaneous ventilation
Exclusion Criteria:
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Patients with COPD and VEMS/FVC < 65%
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Patients with CHF and periodic breathing (Ejection Fraction <40%)
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Patients with a recent respiratory decompensation in the month preceding inclusion
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | CHU | Grenoble | France | ||
2 | GH Pitié-Salpétrière - Service de pneumologie et réanimation | Paris cedex 13 | France | 75651 |
Sponsors and Collaborators
- Breas Medical S.A.R.L.
Investigators
- Principal Investigator: Jean-Louis Pepin, prof, University Hospital, Grenoble
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- OVO-2009