Could letting patients breathe on their own sooner protect their lungs?
NCT ID NCT06438198
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Researchers at Erasmus Medical Center are studying whether switching patients with acute hypoxemic respiratory failure from controlled to assisted mechanical ventilation earlier than usual changes the stress on different parts of the lungs. The study enrolls 20 adults on a breathing tube who are deeply sedated and have low oxygen levels. When their oxygen needs improve past a set threshold, the care team switches them to a mode where they trigger their own breaths. Using electrical impedance tomography and specialized CT scans, the researchers measure lung stress and blood flow patterns during the switch to see what happens.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an early switch from controlled to assisted mechanical ventilation
- What this could lead to
- If the approach proves safe and beneficial, it could inform ventilator strategies that reduce lung stress and speed weaning for patients with acute hypoxemic respiratory failure.
- What could go wrong
- This is a small physiological study of 20 patients, so it cannot prove whether the strategy improves survival or recovery. Switching to assisted breathing may fail in some patients, requiring a return to controlled ventilation.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
20 people
The number who actually took part.
- Started
-
Sep 2024
- Finished
-
Sep 2026
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 18 years old * Written informed consent from a legal representative * Mechanical ventilation via an endotracheal tube * Acute hypoxemic respiratory failure with PaO2/FiO2 ratio \< 200 mmHg * Under continuous sedation with or without paralysis Exclusion Criteria: * Expected mechanical ventilation duration of \<48 hours * Pure chronic obstructive pulmonary disease exacerbation * Pre-existent respiratory muscle disease * Contraindication to EIT monitoring (as per clinical protocol, e.g. pacemaker, burns or thoracic wounds limiting electrode placement) * Contra-indications to oesophageal manometry (as per clinical protocol, e.g., recent oesophageal surgery, oesophageal varices, severe bleeding disorders) * Known pregnancy * Anticipating withdrawal of life support and/or shift to palliation as the goal of care
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Acute hypoxemic respiratory failure are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Erasmus MC
Rotterdam, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Steroid dose showdown: can more dexamethasone save lives in respiratory failure?
- Can tilting a Patient's body toward the infection help them breathe free sooner?
- The hidden breath: how a mismatch between patient and machine may shape ARDS recovery
- Can a bedside ultrasound predict which septic shock patients will stop breathing on their own?
- Scientists hunt for hidden subgroups in sudden respiratory failure
- Could less food help critically ill patients recover faster?