Acute respiratory distress syndrome
Conditions
Interventions
High PEEP group:High PEEP method
intermittent subglottic suction group:Sterilize the subglottic suction catheter's aperture and set the suction device's negative pressure to between 100 and 150 mmHg. Then attach the suction catheter
Sponsors
Shandong Provincial Hospital Affiliated to Shandong First Medical University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: ? patients aged >18 years who met the medical diagnosis of ARDS based on the Berlin definition; ? ventilation mode was mechanical ventilation and the retained artificial airway was available for subglottic suction.
Exclusion criteria
Exclusion criteria: ? patients with undrained pneumothorax; ? patients with interstitial pneumonia; ? patients with extremely unstable hemodynamics, such as systolic blood pressure lower than 90 mmHg; ? those who have already had VAP and have not yet recovered when admitted to the ICU.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The presence of subglottic secretions; | — |
Secondary
| Measure | Time frame |
|---|---|
| Choking and man-machine confrontation incidence;microsorption incidence;ventilator-associated pneumonia;Changes in SPO2;Duration of mechanical ventilation;Length of ICU hospitalization; | — |
Countries
China
Contacts
Public ContactLiufang Pang
Shandong Provincial Hospital Affiliated to Shandong First Medical University
Outcome results
None listed