Acute respiratory distress syndrome due to COVID-19 viral pneumonia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: At least 18 years and less than 75 years old. Intensive care unit admission. Intubation and mechanical ventilation since less than 72h. Positive end-expiratory pressure = 5 cmH2O. Acute respiratory distress syndrome following Berlin definition. COVID-19 PaO2/FiO2 ratio =65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: Contraindication to prone position. Pregnancy. Weight < 40 kgs Height below 140 cm or above 190 cm. Profuse bronchorrhea Other significant cause than ARDS to the respiratory failure History of pneumonectomy or pulmonary lobectomy Limitation of therapeutics. No arterial line in place. Impossible to give neuromuscular blockers (e.g. drug unavailable). Severe chronic respiratory failure with oxygen at home. Other severe acute or chronic liver failure Patient scheduled for extracorporeal membrane oxygenation. Known hypersensibility to Curosurf.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • Evolution of oxygenation and respiratory state (PaO2, PaO2 / FiO2, SaO2, lung compliance, chest x-ray) and its chronology following the procedure. • Number of ventral decubitus sessions and date of the last session. • Withdrawal time from artificial ventilation, expressed in "free days of artificial ventilation". • Survival at 28 days, 56 days, after discharge from the intensive care unit, after discharge from the hospital. | — |
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To show that the drug as used in this procedure improves blood oxygenation (PaO2/FiO2). ;Secondary Objective: To assess the impact of this procedure on improving the respiratory state and its duration: oxygenation, weaning time from mechanical ventilation, survival.;Primary end point(s): Primary outcome: PaO2 / FiO2 ratio increase between before and one hour after procedure. | — |
Countries
France
Contacts
Centre Hospitalier de Versailles