Acute Respiratory Distress Syndrome. Acute respiratory distress syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with Moderate to Severe Acute Respiratory Distress Syndrome and under invasive mechanical ventilation
Exclusion criteria
Exclusion criteria: Younger than 18 year Less than 24 h or more than 96 h after the onset of the disease. Unstable hemodynamic Contraindication for using of high PEEP Known heart failure Acute ischemic heart disease or uncontrolled arrythmia Chronic lung disease BMI>40
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lung recruitability (Reaeration) with two type of positive end expiratory pressure selection. Timepoint: Initial measurement of lung recruitment (Reaeration) with a low level of positive end expiratory pressure (low PEEP table) and after 30 minutes with a high positive end expiratory pressure level (Express trial). Method of measurement: By lung ultrasonography with 2.5 to 5 megahertz curve probe. | — |
Secondary
| Measure | Time frame |
|---|---|
| Oxygenation state. Timepoint: Five minutes after positive end expiratory pressure (PEEP) change. Method of measurement: Dividing the arterial oxygen pressure to the fraction of inspired oxygen (Po2/Fio2 ratio). | — |
Countries
Iran (Islamic Republic of)
Contacts
Mashhad University of Medical Sciences