Acute Respiratory Distress Syndrome
Conditions
Keywords
optimal positive end-expiratory pressure determination, Electrical impedance tomography
Brief summary
To Select the Optimal Positive End-expiratory Pressure in Moderate and Severe Acute Respiratory Distress Syndrome Patients by Using: 1. the novel Non-invasive Electrical Impedance Tomography Guided Method 2. the Protective ventilation tool G5(MV)
Detailed description
1. To titrate PEEP guided by EIT. A global inhomogeneity (GI) index and regional compliance based on EIT were developed to quantify the tidal volume distribution within the lung. The aim of this study was to test the feasibility of optimizing PEEP with respect to ventilation homogeneity using the GI index and regional compliance. 2. To titrate PEEP with the Protective Ventilation Tool by G5(MV). The new generation of ventilator will deliver an optimal PEEP on ARDS patients based on their status automatically.
Interventions
Patients are randomly assigned to EIT group or G5 group. PEEP selected in EIT group is based on GI index and regional compliance. PEEP decided in G5 group is based on the ventilator.
Patients are randomly assigned to EIT group or G5 group. PEEP selected in EIT group is based on GI index and regional compliance. PEEP decided in G5 group is based on the ventilator.
Sponsors
Study design
Eligibility
Inclusion criteria
1. ARDS patients 2. Transferred from FEMH emergency room or Ward into the medical intensive care unit. 3. Patients with invasive mechanical ventilation 4. Patient, agent or consent of families learn about and subjects were willing to sign the consent form.
Exclusion criteria
1. burning electric knife used 2. pacemaker used 3. Large area wound is used gauze to cover 4. Wound or burn injuries of the chest wall. 5. Patients included conditions are not met.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory system parameter | 48 hrs | Compliance |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| MV day | 64 days | Number of days with ventilator and ICU stay |
| Respiratory system parameter | 48 hrs | PaO2/FiO2 |
Countries
Taiwan