Ards
Conditions
Keywords
prone position, mechanical ventilation, oxygenation
Brief summary
The OMELETTE study is a randomised, controlled, unicentric, open-label study to prove the noninferiority of reduced prone position (PP) sessions (more tan 16 hours) versus prolonged PP (48 hours).
Detailed description
This is a non-comercial, investigator-driven clinical study developed in a single critical care unit. The study is coordinated by the main investigator from Hospital Universitario 12 de Octubre in Madrid; The sponsorship is performed by Dr. Ignacio Sáez (Hospital Universitario 12 de Octubre). The study was planned according to the Good Clinical Practices. Omelette study has been approved by the Ethics Committee. All participating Patients must give informed consent before any study procedure occur.
Interventions
PP according to previous study
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient above 18 year-old. * Diagnosis of severe ARDS due to COVID-19 under invasive mechanical ventilation, * Meet criteria for PP: PaO2/FiO2 \< 150 millimeters of mercury column (mmHg), PEEP ≥ 5 Centimeters of Water (cmH2O), FiO2 ≥ 60.
Exclusion criteria
* No consent for the study. * PP contraindicated (( elevated intracranial pressure, massive hemoptysis, recent tracheal surgery or sternotomy, unstable hemodynamic status, recent pacemaker implantation, severe facial laceration, open abdominal wound, spine, femur or pelvis fracture or pregnancy).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ventilator-free days at 60 days | 60 days | Number of days from successfully weaning to day 60 |
| Ventilator-free days at 28 days | 28 days | Number of days from successfully weaning to day 28 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ICU and Hospital stay | Hospital admission | Days of stay |
| PP complications | ICU admission | Proportion of Patients experiencing accidental removal of catheters, endotracheal tube obstruction or any serious adverse event. |
| Evolution of respiratory parameters | ICU admission | Measurement of mechanical ventilation parameters. |
| Survival | 60 days | Mortality during ICU or hospital admission |
Other
| Measure | Time frame | Description |
|---|---|---|
| Enteral nutrition administration | ICU admission | Nutritional intake. |
Countries
Spain