Respiratory
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age = 18 years • Diagnosis of ARDS according to Berlin definition • PaO2/FiO2 = 300 mmHg with PEEP = 5 cmH2O • Invasive mechanical ventilation in pressure controlled mode • Enrollment within 24 hours of ARDS diagnosis ARDS diagnosis will be confirmed independently by two ICU physicians based on clinical and radiological criteria.
Exclusion criteria
Exclusion criteria: • Pregnancy • Chronic home mechanical ventilation • DNR/DNI status at enrollment • Enrollment in interventional ventilator trials • ECMO initiation within the first 72 hours Early deaths and patients ventilated<3 days will NOT be excluded to avoid survivorship bias.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 28-day all-cause mortality | — |
Secondary
| Measure | Time frame |
|---|---|
| ICU mortality;Hospital mortality ;Duration of mechanical ventilation (among survivors) ;ICU length of stay (among survivors) ;Hospital length of stay (among survivors) ;Ventilator-free days at day 28 count of days alive and free from invasive ventilation between day 0 and day 28) | — |
Countries
Egypt
Contacts
assistant professor of anesthesia and intensive care medicine