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ung Recruitability Assessment by Recruitment-to-Inflation Ratio and Electrical Impedance Tomography and Lung Ultrasound in ARDS

Completed
Conditions
ARDS patients
acute respiratory distress syndrome
recruitment-to-inflation ratio
lung ultrasonography
electrical impedance tomography
recruitability assessment
Registration Number
TCTR20240802004
Lead Sponsor
/A
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
21
Inclusion Criteria

Age > 18 years
Diagnosed ARDS as Berlin Definition
Intubated or tracheostomy
Inform consent

Exclusion Criteria

Severe obstructive defect of COPD or recent AE within 8 wk
Pregnancy
Mild ARDS (PaO2/FiO2 > 200)
On intercostal chest drainage
Contraindications from oesophageal balloon insertion
Cannot perform recruitment manuver

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The correlation between recruited volume (Vrec) and RI ratio by both single-breath method and EIT. The correlation of LUS and Vrec. After performing R/I ratio, and recruitment maneuver Perform the R/I ratio using the ventilator technique and record parameters/data from EIT. To calculate the correlation, statistically analyze the values from EIT and from the ventilator.
Secondary Outcome Measures
NameTimeMethod
Identify lung recruitability by EIT End of R/I measurement and and of RM Define the high recruiter (good response to RM) by the EIT technique and fine sensitivity, specitivity, and AUC compare to R/I ratio by single breath from ventilator
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