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Epimorph COVID Acute Respiratory Distress Syndrome

Not Applicable
Conditions
Health Condition 1: B972- Coronavirus as the cause of diseases classified elsewhere
Registration Number
CTRI/2021/07/035093
Lead Sponsor
Swagata Tripathy
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

COVID 19 ARDS patients on NIV, P/F Ration < 300 with High respiratory Drive- TFDi > 30% ( secondary - Vt > 10 ml/ kg. RR > 25 /min )

Exclusion Criteria

Metabolic acidosis HCO3- < 16 or pH < 7.2. Severe hypoxemia warranting cessation of NIV and intubation, non-acceptance of NIV. Technical difficulty for epidural catheterization, coagulation abnormalities, low respiratory drive, EOL orders, chronic opioid use.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Diaphragm thickening index fractionTimepoint: Average of 3 readings at 3 time points each 24 hours, for the duration of minimum 48 hours and a maximum of 100 hours
Secondary Outcome Measures
NameTimeMethod
Ventilatory parameters, sedation and pain scores, subjective comfort and dyspnoea scores, time to intubation, length of stay on NIV, 28 day mortality.Timepoint: Average of 3 readings at 3 time points each 24 hours, for the duration of minimum 48 hours and a maximum of 100 hours
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