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the Influence of Tidal Volume to Lung Strain

Conditions
Critically Ill
Acute Respiratory Distress Syndrome
Registration Number
NCT01864668
Lead Sponsor
Zhongda Hospital
Brief Summary

Measure the lung strain in different tidal volume in ADRS patients to find the relationship between tidal volume and lung strain and find the most suitable tidal volume for each patient.

Detailed Description

Purpose:Find the relationship between tidal volume and lung strain in ARDS patients.Then find the most suitable tidal volume for each patient according to the dividing value.

Methods:Measure the lung strain in the tidal volume of 6mL/kg,8mL/kg,10mL/kg and 12mL/kg in each ARDS patient.

Hypothesis:With the increase of the tidal volume,the lung strain develops.In the patient with larger lung compliance,the strain of the group of conventional tidal volume is less than 0.27 and there is no obvious difference between the group of small tidal volume.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
25
Inclusion Criteria
  1. Age:18-85,gender is not limited
  2. Needing Invasive ventilation
  3. Fit the definition of ARDS in 2012 "Berlin Definition"
  4. Sign the paper of informed consent
Exclusion Criteria
  1. pregnancy and at the end stage of tumour
  2. the COPD patients
  3. less than 24h of mechanical ventilation
  4. more than 5 days of mechanical ventilation
  5. FiO2>80%
  6. presence of air leaks
  7. organ dysfunction and hemodynamic instability
  8. including in other research

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
the strain in different tidal volume2 hours

Use the GE ventilator to measure the EELV and calculate the lung strain(lung strain = VT/EELV)

Secondary Outcome Measures
NameTimeMethod
28 days mortality28 days

Follow up to determine the mortality in 28 days after inclusion

Trial Locations

Locations (1)

Affiliated Zhongda Hospital of Southeast University

🇨🇳

Nanjing, Jiangsu, China

Affiliated Zhongda Hospital of Southeast University
🇨🇳Nanjing, Jiangsu, China
Xiaohua Qiu, MD
Sub Investigator
Fang Jin, MD
Principal Investigator

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