Health Condition 1: J00-J99- Diseases of the respiratory system
Conditions
Interventions
Intervention1: Nil: Nil
Sponsors
All India Institute of Medical Sciences Jodhpur
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age of more than 18 years 2. ARDS patients as defined by American European Consensus Conference 3. Endotracheal Intubation or Tracheostomised patients requiring Mechanical Ventilation
Exclusion criteria
Exclusion criteria: Severe hemodyanamic instability requiring high vasopressors that is requirement of 2 or more vasopressors to maintain MAP more than 65, Raised intracranial pressures, Cervical spine instability, Facial trauma, Known respiratory pathology.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To find out the optimal duration of proning for maximum benefit in terms of improvement in P/F ratios more than 200 sustained for 8 hours in supine position after prone ventilation in patients with moderate to severe ARDS.Timepoint: Till P/F ratio improves to more than 200 for 8 hours after proning session | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Mortality rate at 30 days 2.Complication/ events(at different time intervals) during prone ventilation such as pressure sores, excidental extubation, ETT obstruction, hemoptysis, desaturation to less than 85%, hemodyanamic instability, cardiac arrest 3.Length of stay in ICU in surviving patients. 4.Respiratory mechanics(compliance) at various time intervals 5.Reinitiation of proning after termination 6.Duration of proning beyond which there is no further improvement in proningTimepoint: Till P/F ratio improves to more than 200 for 8 hours after proning session | — |
Countries
India
Contacts
Public ContactSumit Kumar Singh
All India Institute Of Medical Sciences, Jodhpur
Outcome results
None listed