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Comparative Effectiveness of Esophageal Pressure and Airway Opening Pressure for Personalized PEEP Optimization in Obesity: A Randomized Crossover Study

Comparative Effectiveness of Esophageal Pressure and Airway Opening Pressure for Personalized PEEP Optimization in Obesity: A Randomized Crossover Study

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500099179
Enrollment
Unknown
Registered
2025-03-19
Start date
2025-04-01
Completion date
Unknown
Last updated
2025-03-24

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

Conditions

Obesity

Interventions

Detection group:Titrate PEEP using airway opening pressure and esophageal pressure

Sponsors

Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1.Age>=18 years old; 2.Body Mass Index (BMI)>=30 kg/m²; 3.Not diagnosed with Acute Respiratory Distress Syndrome (ARDS); 4.The patient undergoes intubation and mechanical ventilation; 5.Informed consent has been signed;

Exclusion criteria

Exclusion criteria: 1.Contraindications for esophageal catheter insertion; 2.Contraindications for Electrical Impedance Tomography (EIT) monitoring; 3.Suffering from severe chronic obstructive pulmonary disease; 4.Having a history of severe or uncontrolled asthma; 5.Having a history of lung metastasis; 6.Receiving renal replacement therapy; 7.Suffering from congestive heart failure;

Design outcomes

Primary

MeasureTime frame
End-expiratory lung impedance (EELI);Tidal impedance variation (TIV);Local over - expansion/collapse (ODCL);Global Inhomogeneity(GI);

Secondary

MeasureTime frame
Tidal volume;Respiratory rate;Driving pressure;Transpulmonary driving pressure;Respiratory system compliance;Arterial partial pressure of carbon dioxide, PaCO2;Index of oxygenation, P/F;Oxygen saturation, SaO2;

Countries

China

Contacts

Public ContactHongping Qu

Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

hongpingqu0412@hotmail.com+86 21 64370045

Outcome results

None listed

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