Infants with Severe Acute Respiratory Distress Syndrome: the Prone Trial

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeUp to 12
SponsorMedical University of Vienna

About this trial

The main objective is to determine the short-term effect of prone positioning in infants with infection-associated severe acute respiratory distress syndrome. The investigators compare oxygenation parameters and measurements from electrical impedance tomography (EIT) and lung ultrasonography (LUS) in mechanically ventilated infants in prone position versus supine position after surfactant administration.

Eligibility criteria

Qualifiers

Patients hospitalized at Pediatric Intensive Care Unit (PICU) or Neonatal Intensive Care Unit (NICU) of the Medical University Vienna.

Patients aged >36 weeks (corrected gestational age) and <24 months.

Patient intubated and mechanically ventilated for at least 6 hours, with an expected requirement of invasive ventilatory support for at least 12 hours.

Clinical picture strongly suggestive for acute bronchiolitis or pneumonia (fever, fine crackles, prolonged expiration, lung hyperinflation and/or findings of new infiltrates consistent with acute pulmonary parenchymal disease on chest X-ray).

Disqualifiers

Clinical context

Need for O2 supplementation to maintain SpO2>94% in the 4 weeks preceding hospitalization in the PICU/NICU

Cyanotic congenital heart disease Cardiogenic pulmonary edema

Severe pulmonary hypertension

Trial design

Treatments tested in this trial

  • Prone positioning

Treatment groups

14 Participants
are divided into 2 treatment groups

Sponsors and collaborators