Regional Assessment of the Risk of Lung Injury in Ventilated Patients

ConditionARDS, Human
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-75
SponsorHospital El Cruce

About this trial

Specific characteristics of the lung, such as its functional capacity, heterogeneity, and recruitment potential, can influence the development of ventilator-induced lung injury even under safe ventilation conditions. Objective: To evaluate the risk of ventilator-induced lung injury at the regional level in patients with acute respiratory distress syndrome ventilated with similar tidal volumes and inspiratory pressures.

Eligibility criteria

Qualifiers

None

Disqualifiers

History of emphysema, asthma, pneumothorax, or active bronchopulmonary fistula.

Severe instability at the time of the study defined by at least one of the following indicators: SaO2 ≤ 90%, shock requiring > 0.5 γ/kg/min of noradrenaline, complex arrhythmia, myocardial ischemia, intracranial hypertension refractory despite first-line measures.

Esophageal pathology contraindicating esophageal balloon placement (esophageal varices, stenosis, trauma or esophageal surgery, tumor) and/or hematemesis.

Severe coagulopathy (platelet count <20,000/mm3 or INR >4.

Trial design

Treatments tested in this trial

  • Controlled mechanical ventilation

Treatment groups

10 Participants
are divided into 2 treatment groups

Sponsors and collaborators