Smarter ventilator settings could ease breathing for ICU patients
NCT ID NCT07769307
First seen Aug 17, 2026 · Last updated Aug 18, 2026 · Updated 1 time
Summary
This pilot trial tests whether using a flow index—a simple measurement from the ventilator—to adjust pressure support can better match breathing effort in adult ICU patients who need a ventilator for more than 48 hours. Half the participants will have ventilator support adjusted using this new method, while the other half receives standard adjustments based on tidal volume and breathing rate. The goal is to see if the new method keeps respiratory muscle pressure in a healthy range, potentially reducing strain and improving recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Flow index-guided pressure support titration, a procedure that adjusts ventilator support based on a non-invasive flow index measurement.
- What this could lead to
- If successful, this could lead to a more precise way to set ventilator support, potentially reducing breathing effort and improving outcomes for ICU patients.
- What could go wrong
- This is a small pilot study, so results may not be conclusive. The approach may not prove safer or more effective than standard care, and there are risks of respiratory distress or other complications.
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
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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
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About 60 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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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
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * Adult patients (age ≥ 18 years) receiving pressure support ventilation (PSV) * Expected duration of invasive mechanical ventilation \> 48 hours Exclusion Criteria: * Patients who have received PSV for \> 48 hours at the time of screening * Neuromuscular disease, diaphragmatic dysfunction, or central nervous system disease affecting the respiratory center * Incomplete lung or chest wall integrity (e.g., pneumothorax, tracheoesophageal fistula, rib fractures) * Acute respiratory distress syndrome (ARDS) or chronic obstructive pulmonary disease (COPD) * Body mass index (BMI) \> 35 kg/m² * Pregnancy or lactation * Participation in another interventional study or refusal to participate
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Capital Medical University Beijing Tiantan Hospital
Beijing, Beijing Municipality, 100070, China
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