NL-OMON53828
Recruiting
Not Applicable
Flow versus Pressure Controlled Ventilation in patients with moderate to severe Acute Respiratory Distress Syndrome - FCV vs PCV in moderate to severe ARDS
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Not specified
- Sponsor
- Erasmus MC, Universitair Medisch Centrum Rotterdam
- Enrollment
- 28
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •In order to be eligible to participate in this study, a subject must meet all
- •of the following criteria:
- •\- 18 years or older;
- •\- Provided written informed consent;
- •\- Undergoing controlled mechanical ventilation via an endotracheal tube;
- •\- Meeting all criteria of the Berlin definition of ARDS:
- •o Hypoxic respiratory failure within 1 week of a known clinical insult or new
- •or worsening respiratory symptoms
- •o Bilateral opacities on X\-ray or CT\-scan not fully explained by effusions,
- •lobar/lung collapse (atelectasis), or nodules
Exclusion Criteria
- •\- Severe sputum stasis or production requiring frequent bronchial suctioning
- •(more than 5 times per nurse shift) \- Untreated pneumothorax (i.e. no pleural
- •drainage) \- Hemodynamic instability defined as a mean arterial pressure below
- •60mmHg not responding to fluids and/or vasopressors or a noradrenalin dose \>
- •0\.5mcrg/kg/min \- High (\>15 mmHg) or instable (an increase in sedation or
- •osmotherapy is required) intracranial pressure \- An inner tube diameter of 6mm
- •or less \- Anticipating withdrawal of life support and/or shift to palliation as
- •the goal of care \- Inability to perform adequate electrical impedance
- •tomography (EIT) measurements \- Contra\-indications for nasogastric tube or
- •inability to perform adequate transpulmonary pressure measurements
Outcomes
Primary Outcomes
Not specified
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