CTRI/2021/02/031433
Not yet recruiting
未知
Comparison of transpulmonary pressures by esophageal pressure measurement in supine and prone positions in patients with severe Acute Respiratory Distress Syndrome: An Observational Study
Overview
- Phase
- 未知
- Intervention
- Not specified
- Conditions
- Health Condition 1: J22- Unspecified acute lower respiratory infection
- Sponsor
- Sir Ganga Ram hospital
- Status
- Not yet recruiting
- Last Updated
- 4 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •The study population includes patients equal to or more than 18 years of age admitted to the adult intensive careunit with severe ARDS (according to Berlin criteria) who are candidates for prone ventilationtherapy and have no contraindications for the placement of an oesophageal balloon catheter
Exclusion Criteria
- •Contraindications to esophageal balloon placement
- •Esophageal or nasopharyngeal pathology (such as tumors, sinusitis , epistaxis,ulcerations, recent surgery or bleeding varices) , Diverticulitis , Bronchopulmonary fistula ,Solid\-organ transplantation , History of difficult intubation or airway management ,Duration of ARDS \>\=36 h or duration of mechanical ventilation \>\=96
- •Contraindications to prone positioning
- •Shock (eg, persistent mean arterial pressure \<65 mmHg),Acute bleeding (eg, hemorrhagic shock, massive hemoptysis), Multiple fractures or trauma (eg, unstable fractures of femur, pelvis, face),Spinal instability, Pregnancy, Raised intracranial pressure \>30 mmHg or cerebral perfusion pressure \<60 mmHg, Tracheal surgery or sternotomy within two weeks
Outcomes
Primary Outcomes
Not specified
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