Airbag, ARDS, Mechanical Ventilation, Prone Position
Conditions
Keywords
ARDS, prone position, mechanical ventilation, airbag
Brief summary
ARDS is frequent in ICU and may lead to many complications and to death. Prone position is widely used in ADRS patients and demonstrated to decrease mortality. Regarding the chest wall compliance data are missing but the theorical response is that this compliance is decreased in a prone position mainly due to anterior chest and abdomen compression in this position which are more compliant that dorsal part of the body. As well prone position could be associated with complications as pressure ulcers. Because prone position is associated with complications, air bag were developped to decrease pressure on the chest and abdomen and to decrease pressure ulcers. Then, trying to improve chest compliance in prone position and reducing the risk of pressures ulcers could be a challenge with this system in comparison with standard care.
Interventions
OTHERprone position with airbags
prone position with airbags
OTHERprone position without airbags
prone position without airbags
Sponsors
Centre Hospitalier Universitaire, Amiens
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients with ARDS under mechanical ventilation with P/F ratio\<150 * Age \>18 y/o * Admitted in the medical ICU of Amiens under mechanical ventilation sedated, * With signed informed consent (patient or relative if patient is not conscious)
Exclusion criteria
* patients not eligible for a prone position * Patients with tracheostomy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| variation of Lung compliance between both groups | 3 days |
Countries
France
Contacts
Primary ContactPr Michel Slama, Pr
Outcome results
None listed