Patients aged 18 to 70 years old who were successfully detached from the ventilator after tracheotomy in the emergency care unit of Sir Run Run Shaw Hospital Respiratory
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 70 years old 2. Patients who successfully detached from the ventilator for 24 years 3. Patients with mild to moderate respiratory distress syndrome and/or hypoxemia 4. Stable vital signs
Exclusion criteria
Exclusion criteria: 1. Hemodynamic instability (hypotension with mean arterial pressure of <60 mmHg despite volume loads or vasoactive drugs 2. Evidence of pneumothorax on chest X-ray or computed tomography scan 3. Respiratory failure explained by cardiac failure or fluid overload 4. Severe chronic obstructive pulmonary disease 5. Contraindication to electrical impedance tomography (EIT) (e.g. patients with implantable defibrillator, ETI belt positioning with wound dressing or chest drainage tube, etc)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Measured at the completion of each treatment with different oxygen supply modes at 30 minutes: 1. End-tidal lung volume measured using electrical impedance tomography (ETI) 2. Thickness of diaphragmatic muscle and the related respiratory muscle measured by ultrasound | — |
Secondary
| Measure | Time frame |
|---|---|
| Measured at the completion of each treatment with different oxygen supply modes at 30 minutes: 1. Respiratory rate, heart rate, blood pressure measured using patient monitor (Philips; mode: M8005A) 2. PECO2 measured by the end-of-breath carbon dioxide monitor (mode: M19042000) 3. Arterial blood gas measured by the Automatic blood gas, electrolyte and biochemical analyzer (mode: M18790600) | — |
Countries
China