Health Condition 1: J960- Acute respiratory failure
Conditions
Interventions
Intervention1: Helmet CPAP: Helmet CPAP in semi-prone and prone position for 30 min to 2 hrs.
Control Intervention1: not applicable: not applicable
Sponsors
PGIMS rohtak
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with age >=18 years 2. Patients with ARDS with PO2:FiO2 of 150-300
Exclusion criteria
Exclusion criteria: 1.Pregnancy 2.Patients with hemodynamic instability defined as requiring vasopressor support (i.e., a systolic blood pressure 3.Patients with altered sensorium or Glasgow Coma Scale (GCS) of less than 12 4.Patients with need of emergency intubation 5.Patients with Tracheostomy 6.Patients with upper airway obstruction 7.Patients with pH 50 mm of Hg in initial arterial blood gas analysis 8.Patients with pneumothorax on chest Xray. 9.Inability to reposition self for comfort without assistance 10.Spinal instability 11.Glaucoma or other condition with acutely elevated intraocular pressure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To assess the improvement in P/F ratio in semi-prone position in comparison to supine positionTimepoint: baseline, 30min to 2hrs during intervention and 30min after intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To compare the improvement in P/F ratio in Semi-prone and prone position in comparison to supine position. 2. To assess change in P/F ratio, ROX index and respiratory rate 30min to 1 hour after supination from semi prone and prone position. 3. To determine patientâ??s comfort in semi-prone and prone position in comparison to supine position. Timepoint: baseline, 30min to 2hrs during intervention and 30min after intervention | — |
Countries
India
Contacts
Public ContactAman Ahuja
PGIMS
Outcome results
None listed