It is a multicenter, national, randomized 1:1 ratio, controlled, parallel, open study. Patients with severe ARDS-CoVid19 will be included in the trial within the first 24 hours. Patients will be randomized to one of the treatment groups: * SEV group: 25 patients with Sevoflurane sedation by inhalation, starting at 6 ml/h and changing every 15 minutes until an adequate level of sedation is achieved (BIS 40-50) * PRO group: 25 patients standard sedation with intravenous propofol, starting with 2 mg/kg/h and changing every 15 minutes until an adequate level of sedation is achieved ( BIS 40-50)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
19
25 patients sedated with Sevoflurane via inhalation, starting with 6 ml/h and changing every 15 minutes until an adequate level of sedation is achieved ( BIS 40-50)
25 patients standard sedation with intravenous propofol, starting with 2 mg/kg/h and changing every 15 minutes until an adequate level of sedation is achieved ( BIS 40-50)
Hospital Universitario Cruces
Barakaldo, Bizkaia, Spain
Hospital Universitario Ramón y Cajal
Madrid, Spain
Hospital Universitario La Paz
Madrid, Spain
Hospital Clínico Universitario de Valencia
Valencia, Spain
Hospital General Universitario de Valencia
Valencia, Spain
PaO2/FiO2
To evaluate the effect of 48-hour treatment with inhaled sevoflurane on arterial oxygenation, assessed by PaO2/FiO2 on day two, in patients with ARDS-CoVid19
Time frame: Day 2
TNFα
To quantify the effects of sevoflurane on pro-inflammatory cytokine levels during ARDS-CoVid19
Time frame: Day 2
IL-1b
To quantify the effects of sevoflurane on pro-inflammatory cytokine levels during ARDS-CoVid19
Time frame: Day 2
IL-6
To quantify the effects of sevoflurane on pro-inflammatory cytokine levels during ARDS-CoVid19
Time frame: Day 2
IL-8
To quantify the effects of sevoflurane on pro-inflammatory cytokine levels during ARDS-CoVid19
Time frame: Day 2
Mortality
To evaluate the 30-day mortality.
Time frame: Day 30
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