Ventilator-associated pneumonia J15
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Mechanical ventilation • Intensive care unit treatment expected to be required for at least 48 hours at the time of screening • Presence of signs and symptoms suggestive for VAP (signs of worsening respiratory function (an increase of FiO2 by 0.15 or an increase of PEEP by > 2 mbar or a new onset of purulent sputum or a new onset of abnormal breath sounds) accompanied by signs and symptoms of systemic inflammation (temperature > 38°C or 12.0 x 109/l or a C-reactive protein (CRP) level > 87 mg/l or increased by 41 mg/l from the previous value)
Exclusion criteria
Exclusion criteria: • Established diagnosis of pneumonia • Surgery or severe injury to the thorax as the reason to the ICU-stay • Age 40 kg m-2 • Confirmed pregnancy (ß-HCG >10U/l)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the diagnostic accuracy of TUS (Thoracic ultrasound) and portable chest X-ray in the detection of inflammatory consolidation in patients who have a diagnosis of VAP (Ventilator-associated pneumonia) confirmed by microbiologic laboratory results. | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of unexpected findings(e.g. pleural effusion, pneumothorax), resource utilization and interobserver variability of each imaging modality | — |
Countries
Germany, Switzerland
Contacts
Abteilung für IntensivmedizinBonifatius-Hospital