CUrrent Practices of Intensive Care for the Management of Acute Respiratory Distress Syndrome in EurOpe.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 100
- 主要终点
- Proportion of ICUs utilising prone positioning for ARDS patients.
研究概览
简要总结
This study seeks to gain a comprehensive understanding of current ARDS management practices across European ICUs, with a particular focus on the use of LTV and PP therapy, which have been shown to improve outcomes in ARDS patients. The primary objectives focus on evaluating how LTV and PP are implemented across different institutions, while secondary objectives encompass a broader assessment of other ARDS treatment strategies. These include mechanical ventilation approaches, including PEEP titration, the use of NMBAs, and advanced extra-corporal therapies like ECMO and extracorporeal carbon dioxide removal (ECCO2R). Additionally, the study will explore diagnostic methods and decision-making processes that guide ARDS management in diverse clinical settings.
详细描述
This is a cross-sectional survey designed to collect data on the current practices of ARDS management in ICUs across Europe. The survey will be administered electronically, allowing for the efficient collection of responses from a broad and diverse group of healthcare professionals.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Healthcare professionals (physicians and nurses) who are currently employed in an ICU that treats ARDS patients and are actively involved in their management.
排除标准
- •There are no specific exclusion criteria for this study, as the aim is to gather as broad a range of perspectives and practices as possible from ICUs treating ARDS patients.
结局指标
主要结局
Proportion of ICUs utilising prone positioning for ARDS patients.
时间窗: Survey period (December 2024 - March 2025)
This measure evaluates the adoption of prone positioning therapy across ICUs in Europe, capturing variations in its implementation for ARDS patients.
PaO2/FiO2 threshold for starting prone positioning.
时间窗: Survey period (December 2024 - March 2025)
This measure represants a categorical variable and captures the clinical thresholds for initiating prone positioning, based on the PaO2/FiO2 ratio.
Distribution of the extent of prone positioning used in participating ICUs.
时间窗: Survey period (December 2024 - March 2025).
This measure categorises the extent of prone positioning in ARDS patients based on typical positioning angles (e.g., 135°, 180°) and reports the proportion of ICUs using each category. Unit of Measure: Percentage of ICUs per category (e.g., 135°, 180°).
Mean duration per prone positioning cycles.
时间窗: Survey period (December 2024 - March 2025)
Evaluates the typical duration of individual prone positioning cycle. Unit of Measure: Hours per cycle
Mean minimum number of prone position cycles.
时间窗: Survey period (December 2024 - March 2025)
Evaluates the minumum number of prone position cycles per patient, regardless of therapy response. Unit of Measure: number of cycles (count)
Commonly reported criteria for ending prone positioning therapy.
时间窗: Survey period (December 2024 - March 2025)
Assesses clinical and physiological criteria used to determine the cessation of prone positioning, such as oxygenation improvements or complications. Descriptive frequencies of criteria.
Proportion of ICUs adhering to tidal volume restrictions
时间窗: Survey period (December 2024 - March 2025)
Measures the compliance of ICUs with evidence-based lung-protective ventilation strategies in ARDS patients, focusing on tidal volume settings. Unit of Measure: Percentage.
Mean tidal volumes used for mild, moderate, and severe ARDS.
时间窗: Survey period (December 2024 - March 2025)
Captures variations in tidal volume settings based on the severity of ARDS, aiming to identify trends in lung-protective strategies. Unit of Measure: mL/kg predicted body weight.
次要结局
- Proportion of ICUs using volume-controlled vs pressure-controlled ventilation.(Survey period (December 2024 - March 2025))
- Types of PEEP titration methods and recruitment manoeuvres.(Survey period (December 2024 - March 2025))
- Proportion of ICUs using NMBAs for ARDS patients.(Survey period (December 2024 - March 2025).)
- Frequency of corticosteroid and nitric oxide use.(Survey period (December 2024 - March 2025))
- Proportion of ICUs with ECMO/ECCO2R availability and implementation.(Survey period (December 2024 - March 2025).)
- Variation in prone position extent by country.(Survey period (December 2024 - March 2025).)
研究者
Markus Haar
Specialist in Internal Medicine
University of Hamburg-Eppendorf