Decremental Esophageal Catheter Filling Volume Titration For Esophageal Pressure Measurement
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pediatric Acute Respiratory Distress Syndrome (PARDS)
- Sponsor
- Dr. Behcet Uz Children's Hospital
- Enrollment
- 27
- Locations
- 4
- Primary Endpoint
- Optimal catheter filling volume
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
Mechanical ventilation is a critical intervention in the management of pediatric patients with respiratory distress. During this process, accurate measurement of transpulmonary pressure (PL) is essential to ensure the safety and efficacy of ventilation. PL is defined as the difference between alveolar pressure (Palv) and pleural pressure (Ppl). While the direct measurement of Ppl is possible, it poses a risk to tissue integrity. Thus, the primary surrogate for Ppl measurement today is esophageal pressure (Pes).
However, the measurement of Pes is not without challenges. This abstract outlines the pitfalls associated with Pes measurement, emphasizing the importance of employing well-defined procedures to mitigate potential errors. These errors can range from underestimation of Pes due to underfilled catheters to overestimation resulting from overfilled catheters.
To address these challenges and optimize Pes measurement, various methods have been proposed for titrating the filling volume of the esophageal catheter. In this study, investigators aim to assess a faster decremental filling method and compare it to the traditionally accepted Mojoli method in the context of pediatric patients. This research seeks to enhance the intensivists' understanding of the most efficient and accurate approach to Pes measurement during mechanical ventilation in the pediatric population, ultimately contributing to improved patient care and outcomes
Investigators
Hasan ağın
Professor
Dr. Behcet Uz Children's Hospital
Eligibility Criteria
Inclusion Criteria
- •Pediatric patients between 1 months and 18 years
- •Patients need mechanical ventilation support without modification of ventilation settings within the upcoming 2 hours
- •Informed consent was signed by next of kin
- •Requiring esophageal catheter application
Exclusion Criteria
- •Patients eligible for extubation or modification of ventilation settings within the upcoming 2 hours
- •Patient included in another interventional study in the last 30 days
- •Patients unable to undergo esophageal catheter insertion due to congenital or acquired pathologies
- •Patient included in another interventional research study under consent
- •Patient already enrolled in the present study in a previous episode of acute respiratory failure
Outcomes
Primary Outcomes
Optimal catheter filling volume
Time Frame: up 1 hour after catheter placement
The clinician will determine the optimal filling volume of the catheter using two distinct methods
Secondary Outcomes
- Transpulmonary driving pressure(up 1 hour after catheter placement)
- Time(up 1 hour after catheter placement)