hypoxemic respiratory failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Mechanical ventilation after cardiac surgery with complete anatomical correction and no intraventricular shunt; 2. Age: 28 days to 14 years; 3. Oxygen index PaO2/FiO2 < 300mmHg.
Exclusion criteria
Exclusion criteria: 1. Hemodynamic instability (defined as need for norepinephrine > 0.2 ug / kg/min or epinephrine > 0.2 ug / kg/min, or refractory metabolic acidosis); 2. Endotracheal tube without cuff; 3. Pneumothorax without a chest tube in place; 4. Bronchopleural fistula; 5. Increased intracranial pressure( > 20mmHg); 6. The clinician team deem the patient unacceptable candidate (such as pulmonary hypertensive crisis, poor right ventricular function); 7. Failure to sign informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| arterial partial pressure of oxygen;arterial blood carbon dioxide partial pressure;Respiratory system dynamic compliance;oxygen index; | — |
Countries
China
Contacts
Intensive Care Unit, West China Hospital, Sichuan University