J80
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Decision of the treating physicians to use prone positioning and electrical impedance tomography to detect lung ventilation 2. Prone positioning of the Patient according to our hospital's standard operating procedure 3. Diagnosis of ARDS according to the Berlin Definition (PaO2/FiO2 Ratio below 300mmHg, see ARDS Definition Task Force, JAMA 2012)
Exclusion criteria
Exclusion criteria: Patients, where electrical impedance tomography is not used
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Detection of a shift in lung ventilation towards dorsal parts of the lung during prone positioning using electric impedance tomography | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Detection of recruitment of poorly aerated lung regions by prone positioning 2. Detection of an increment in the amount of aerated lung volume by prone positioning 3. Proof of a correlation between quantitative computer tomography parameters (distribution of atelectasis, lung weight) and improvement of gas exchange due to prone positioning 4. Proof of a minor degree of skin irritations by prone positioning and electrical impedance tomography measurements 5. Comparison of electrical impedance tomography and PV-Loop (LIP) for determination of the "best PEEP" | — |
Countries
Germany
Contacts
Klinik für Anästhesiologie und IntensivtherapieUniversitätsklinikum Leipzig