ARDS
Conditions
Keywords
Sonography, ICU, PEEP
Brief summary
The purpose of this study is to evaluate the role of lung sonography during different PEEP settings in ICU patients with ARDS.
Detailed description
Acute respiratory distress syndrome (ARDS) is a clinical syndrome that often occurs in critically ill patients. Patients with ARDS invariably require mechanical ventilation to improve oxygen transport. An improvement in oxygenation can be obtained by an increase in positive end-expiratory pressure (PEEP). In critically ill patients with ARDS, lung imaging is been held by the use of chest radiography and the gold standard technique, Computed Tomography (CT). We designed an observational study in which we included patients under mechanical ventilation admitted in our ICU. In all patients PEEP changes were applied and lung sonography was performed.
Interventions
None listed
Sponsors
University of Athens
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Critically ill patients with ARDS admitted in ICU of Evangelismos Hospital * length of stay \> 48 hours
Exclusion criteria
* age \< 18 years * emphysema fractures or skin lesions that do not allow the implementation of lung sonography * BMI \> 35 kg/m2 * length of stay \< 48 hours
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Non aerated lung area changes | 20 min after PEEP trial |
Secondary
| Measure | Time frame |
|---|---|
| Arterial oxygen and carbon dioxide partial pressure | 20 min after PEEP trial |
Countries
Greece
Outcome results
None listed