Status:
COMPLETED
Postural Recruitment Maneuver in Patients With Acute Respiratory Distress Syndrome Due to COVID-19 Infection
Lead Sponsor:
Hospital Nacional Edgardo Rebagliati Martins
Collaborating Sponsors:
Universidad de Piura
Conditions:
Sars-CoV2
ARDS
Eligibility:
All Genders
18+ years
Brief Summary
The purpose of this study is to evaluate if a postural recruitment maneuver (PRM) improves the aeration and distribution of lung ventilation in patients with Acute Respiratory Distress Syndrome (ARDS)...
Detailed Description
The PRM is based on the known effect of gravity on transpulmonary pressure (PL). Two principles explain its mechanism of action: 1) the first indicates that atelectasis and poorly ventilated areas of ...
Eligibility Criteria
Inclusion
- Patients \> 18 years of age
- Patients with moderate-to-severe ARDS as per the Berlin definition
- Infection due to COVID-19
- Body mass index (BMI) ≤ 35 kg /m\^2.
Exclusion
- Contraindication for EIT monitoring
- Unstable spine or pelvic fractures
- Pacemaker, automatic implantable cardioverter defibrillator
- Skin lesions between the 4th and 5th ribs where the EIT belt is worn
- Pregnancy
- Major hemodynamic instability::
- Mean arterial pressure lower than 60 mm Hg despite adequate fluid resuscitation and use of vasopressors.
- FC\> 120 or \<60 per minute
- Presence of uncontrolled arrhythmias.
- More than 1 week of mechanical ventilation
- Failure of more than 2 extrapulmonary organs.
Key Trial Info
Start Date :
July 17 2020
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
October 31 2020
Estimated Enrollment :
15 Patients enrolled
Trial Details
Trial ID
NCT04475068
Start Date
July 17 2020
End Date
October 31 2020
Last Update
August 25 2021
Active Locations (1)
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1
Hospital Rebagliati
Jesús María, Lima, Peru, Lima 11