Trunk Inclination, Positive End-expiratory Pressure, and Lung Recruitability

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorZhongda Hospital

About this trial

This multicenter, physiological, observational study hypothesizes that in moderate to severe ARDS, trunk inclination unloads the chest wall, but its impact on lung mechanics depends on PEEP levels and lung recruitability.

Eligibility criteria

Qualifiers

Intubated moderate and severe ARDS according to the Berlin definition (PaO2/FiO2 ratio <= 200 mmHg)

Under continuous sedation with or without paralysis

Disqualifiers

Age <18 years

Bronchopleural fistula

Pure COPD exacerbation

Contraindication to EIT monitoring (e.g. burns, pacemaker, thoracic wounds limiting electrode belt placement)

Trial design

Treatments tested in this trial

  • Specific lung recruitment maneuvers and decremental PEEP steps

Treatment groups

40 Participants
are divided into 1 treatment group

Sponsors and collaborators