Acute Respiratory Distress Syndrome, Critically Ill
Conditions
Keywords
Acute respiratory distress syndrome, lung strain, small tidal volume
Brief summary
Measure the lung strain in different tidal volume in ADRS patients to find the relationship between tidal volume and lung strain and find the most suitable tidal volume for each patient.
Detailed description
Purpose:Find the relationship between tidal volume and lung strain in ARDS patients.Then find the most suitable tidal volume for each patient according to the dividing value. Methods:Measure the lung strain in the tidal volume of 6mL/kg,8mL/kg,10mL/kg and 12mL/kg in each ARDS patient. Hypothesis:With the increase of the tidal volume,the lung strain develops.In the patient with larger lung compliance,the strain of the group of conventional tidal volume is less than 0.27 and there is no obvious difference between the group of small tidal volume.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age:18-85,gender is not limited 2. Needing Invasive ventilation 3. Fit the definition of ARDS in 2012 Berlin Definition 4. Sign the paper of informed consent
Exclusion criteria
1. pregnancy and at the end stage of tumour 2. the COPD patients 3. less than 24h of mechanical ventilation 4. more than 5 days of mechanical ventilation 5. FiO2\>80% 6. presence of air leaks 7. organ dysfunction and hemodynamic instability 8. including in other research
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the strain in different tidal volume | 2 hours | Use the GE ventilator to measure the EELV and calculate the lung strain(lung strain = VT/EELV) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 28 days mortality | 28 days | Follow up to determine the mortality in 28 days after inclusion |
Countries
China