Respiratory distress syndrome in pediatric patients
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Presence of ARDS within 72 hours of diagnosis, 2. PEEP> 5 cm H2O. 3. Patients whose parents / guardians give their written consent to participate in the study. 4. Aged 28 days old and 18 years inclusive.
Exclusion criteria
Exclusion criteria: 1. Onco-hematological diseases. 2. Chronic heart disease (ventricular septal defect, atrial septal defect, patent ductus arteriosus, pulmonary stenosis, coarctation of the aorta, aortic stenosis, tetralogy of Fallot, transposition of great arteries, tricuspid atresia and truncus). 3. Hypersensitivity to the surface or other component of the formulation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Condition (Alive, Dead). Measurement time: 28 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Gasometrical Evaluation (PaO2, PaCO2, pH, PaO2/FiO2, saturometry): Measuring time: before enrollment, 1h and 8h after each administration. In the control group these time are simulated. Ventilatory Evaluation (type of ventilation, V / minute, inspiratory tidal volume, expiratory tidal volume, respiratory rate, I/E, Pr Pico, Paw, FiO2 (default), PEEP, Static lung compliance and oxygenation index): Measuring time: before enrollment, 1h and 8h after each administration. In the control group these time are simulated. Clinical Evaluation (blood pressure (BP), heart rate (HR) and verify if the patient has symptoms of cyanosis (distal or generalized)): Measuring time: before enrollment, 1h and 8h after each administration. In the control group these time are simulated. Radiographic Evaluation (It is measured Chest radiography. They collect the presence or absence of inflammatory infiltrates in the lung fields, and compared with respect to the first assessment, establishing the following scale: Improvement: Decrease or disappearance of pulmonary infiltrates. Stability: Maintenance of pulmonary infiltrates despite treatment. Worsening: Progression with increased pulmonary infiltrates). Measuring time: before the first administration, daily for 3 days of treatment and the fifth day after administration In the control group these time are simulated. Days of stay in the ICU (days between the date of admissions and discharge of the Intensive Care Unit). Measuring time: at the discharge of the ICU. Days of mechanical ventilation (days between the date begins to mechanically ventilated and respiratory support is withdrawn). Measuring time: When the respiratory support is withdrawn Days of endotracheal intubation (days, between the date of the patient is intubated, and the date of the extubation). Measuring time: at the extubation. Complication (description of the complications related to the ARDS and their cause). Measuring time: before enrollment, 1h and 8h after each administrat | — |
Countries
Cuba
Contacts
National Coordinating Center for Clinical Trials (CENCEC)