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Examination of respiratory mechanics with trunk inclination in obese and non-obese ARDS patients

Not Applicable
Completed
Conditions
Respiratory - Other respiratory disorders / diseases
ARDS
Diet and Nutrition - Obesity
Registration Number
ACTRN12623000794606
Lead Sponsor
Flinders Medical Centre
Brief Summary

In our cohort of mechanically ventilated obese patients with ARDS, supine posture provided better lung mechanics, and better CO2 clearance, without worse oxygenation, than the semi-recumbent posture. Our study highlights the importance of body habitus on postural changes in respiratory mechanics of obese ARDS patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
40
Inclusion Criteria

diagnosis of moderate or severe ARDS (Berlin definition), deep sedation, muscle paralysis, volume controlled mechanical ventilation

Exclusion Criteria

Not ARDS patients

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Partition respiratory mechanics -Elastance using the ventilator and the method described by Stenqvist et al (Intensive Care Med (2015) 41:1110–1113)[15-minute post intervention completion ];Partition respiratory mechanics -driving pressure using the ventilator and the method described by Stenqvist et al (Intensive Care Med (2015) 41:1110–1113)[15 minutes post intervention completion]
Secondary Outcome Measures
NameTimeMethod
Gas exchange (Arterial blood gas- PaO2)[15 minutes post intervention completion ];Gas exchange (Arterial blood gas- PaCo2)[15 minutes post intervention completion ];Gas exchange (Arterial blood gas- pH)[15 minutes post intervention completion ]
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