Ventilator showdown: which mode helps ICU patients breathe better?
NCT ID NCT06140056
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study looked at two different ways to use a breathing machine (ventilator) for patients in the intensive care unit who have dangerously low oxygen levels. The goal was to measure pressure inside the lungs with each method to see which might be safer or more effective. The study was small and ended early, so it mainly provides insights for future research.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help doctors choose better ventilator settings for patients with breathing failure.
- What could go wrong
- This is a small, early feasibility study that was terminated, so results may be limited and not generalizable.
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
-
45 people
The number who actually took part.
- Started
-
Dec 2023
- Finished
-
Sep 2025
- 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: * Admitted to the ICU * Invasive mechanical ventilation with FiO2 ≥ 50% OR PaO2-to-FiO2 ratio \<20 kPa, including PEEP 3 5 cmH20 for at least 6 hours Exclusion Criteria: * Meeting inclusion criteria for more than 24 hours * Severe bronchospasm, defined as warranting treatment aimed at reversing this i.e. inhalation of anticholinergic or bronchodilator beyond what the patient normally use * Emphysema where treating physician judges the patient at increased risk for pneumothorax from APRV * Restrictive lung disease defined as a pre-admission diagnosis of restrictive lung disease * Undrained pneumothorax * Hemodynamic instability defined as more than 0.20 microgram/kg/min of norepinephrine or any dose of adrenaline infusion to maintain MAP ≥ 65 mmHg * Age \< 18 years * Patients who have received APRV previously during the current ICU admission * Patients in prone position within the last 24 hours
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Hypoxic respiratory failure are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
Bispebjerg Hospital
Copenhagen, 2400, Denmark
-
Hvidovre Hospital
Hvidovre, 2650, Denmark
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could inhaled gases help COVID-19 patients breathe easier and survive?
- Shocking recovery: electric bike therapy may speed up COVID-19 rehab
- Shock device may free ICU patients from ventilators faster
- Smart oxygen machine aims to get COPD patients out of hospital faster
- Oxygen sweet spot: new study aims to cut ventilator time for ICU patients