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Carbon dioxide removal with PrismaLung in patients with respiratory failure in intensive care unit.

Not Applicable
Conditions
Acute respiratory failure
Respiratory - Other respiratory disorders / diseases
Registration Number
ACTRN12624000070538
Lead Sponsor
Peninsula Health
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
15
Inclusion Criteria

1. Adult patients (18 years or older) with diagnosis of ARDS as per the Berlin Definition.(Ref Acute Respiratory Distress Syndrome: The Berlin Definition. JAMA. 2012; 307: 2526-33.)
2. Driving pressure ( P) > 14 and/or Plateau >/= 25 (P is calculated using as plateau pressure minus positive end-expiratory pressure). (Ref: Combes A, Auzinger G, Capellier G, et al. ECCO2R therapy in the ICU: consensus of a European round table meeting. Critical Care. 2020; 24: 490)
3. Respiratory rate > 20 breaths per minute
4. pH < 7.25 and PaCO2 >45

Exclusion Criteria

1. ARDS lasting more than 72 hours at the time of inclusion
2. High pressure (Plateau pressure >30 cm H2O) or high FiO2 (>0·8) ventilation for more than 168 h (7 days);
3. Severe hemodynamic instability as defined by ongoing arrhythmias that is not responsive to treatment
4 Contraindication to limited anticoagulation
5. Treatment limitation including not for resuscitation and not for reintubation
6. Patients with potentially irreversible respiratory failure

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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