The Effect of Lung Protective Ventilation Initiated in the Emergency Department on the Incidence of Pulmonary Complications and Clinical Outcomes
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Mechanical Ventilation
- Sponsor
- Washington University School of Medicine
- Enrollment
- 1705
- Locations
- 1
- Primary Endpoint
- Number of Patients That Experience Pulmonary Complications After Admission From the Emergency Department
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Early mechanical ventilation, if delivered with injurious settings, can lead to pulmonary complications, such as acute respiratory distress syndrome (ARDS). Mechanical ventilation in the emergency department (ED) has been studied infrequently when compared to the intensive care unit; however, data suggests that ED-based mechanical ventilation has significant room for improvement and may also be a causative factor in ARDS incidence.
Detailed Description
This is a before-after study examining the impact of implementing lung protective ventilation in the emergency department.
Investigators
Brian Fuller
Associate Professor of Anesthesiology and Emergency Medicine
Washington University School of Medicine
Eligibility Criteria
Inclusion Criteria
- •mechanically ventilated via an endotracheal tube in the ED
Exclusion Criteria
- •death in the ED,
- •death or discontinuation of ventilation within 24 hours,
- •chronic mechanical ventilation,
- •ARDS while in the ED
- •transfer to another hospital.
Outcomes
Primary Outcomes
Number of Patients That Experience Pulmonary Complications After Admission From the Emergency Department
Time Frame: 7 days
Secondary Outcomes
- Number of Patients That Die During the Hospitalization(Patients will be followed for the duration of hospital stay)