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Does raising the head of the bed improve ventilation in COVID-19 patients on ventilators?

Effect of head of bed elevation on respiratory mechanics in mechanically ventilated COVID-19 patients.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2021/06/034182
Enrollment
20
Registered
2021-06-11
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: B972- Coronavirus as the cause of diseases classified elsewhere

Interventions

Intervention1: Head of bed elevation: The head-end of the bed will be elevated by 10, 20, 30 degrees for 2 minutes each. A goniometer will be used for accuracy of degree. Control Intervention1: Supine

Sponsors

Postgraduate Institute of Medical Education and Research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Adults with ARDS (by Berlin criteria) Intubated and on mechanical ventilation COVID-19 positive Hemodynamically stable (nil or low-dose inotropes)

Exclusion criteria

Exclusion criteria: • Clinical evidence of secondary lower respiratory tract infection • Pre-existing pulmonary disease or pulmonary surgery • Rib fractures • Connective tissue diseases • Kyphosis/scoliosis • High intra-abdominal pressure

Design outcomes

Primary

MeasureTime frame
To assess the respiratory mechanics with different degrees of Trendelenburg and reverse Trendelenburg positions in patients with COVID ARDS.Timepoint: 1 minute after intervention.—

Secondary

MeasureTime frame
To assess the hemodynamic parameters with different degrees of reverse Trendelenburg positions in patients with COVID ARDS.Timepoint: 1 minute after intervention.—

Countries

India

Contacts

Public ContactAnanya Ray

Postgraduate Institute of Medical Education and Research

ananyaray1812@hotmail.com7087009532

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026