Status:

COMPLETED

Effects of Trunk Postural Change on CO2 Removal Efficiency in ARDS Patients: Quasi-experimental Study

Lead Sponsor:

Clinica las Condes, Chile

Conditions:

ARDS

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

OBJECTIVES: The trunk inclination from semirecumbent to lying supine improves lung mechanics and reduces end-expiratory lung volume in Acute Respiratory Distress Syndrome (ARDS) patients. Besides, it ...

Detailed Description

The role of trunk inclination in the lying position and its physiological effects have been extensively studied in patients with acute respiratory distress syndrome (ARDS). Consistently, driving pres...

Eligibility Criteria

Inclusion

  • Over 18 years old
  • Admitted to Intensive Care with mild, moderate, or severe ARDS according to the Berlin classification
  • Less than 72 hours of connection to mechanical ventilation.
  • Depth Sedation-analgesia.
  • Acceptance by the legal representative to participate in the study.

Exclusion

  • Pleural tube - bronchopulmonary fistula.
  • Prone position
  • Hypovolemic shock with active bleeding.
  • Intracranial hypertension.
  • Gastric residue greater than 300 ml in the last 6 hours
  • Hemodynamic instability that requires a progressive increase in the dose of vasopressors
  • Temperature variations greater than 0.5 ° C in the last 2 hours
  • Acute heart failure
  • Chronic respiratory disease (FEV1 \<50% predicted).
  • Patients who do not have an arterial line.

Key Trial Info

Start Date :

April 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 30 2022

Estimated Enrollment :

22 Patients enrolled

Trial Details

Trial ID

NCT05281536

Start Date

April 1 2021

End Date

September 30 2022

Last Update

November 17 2022

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Clínica Las Condes

Santiago, Santiago Metropolitan, Chile, 13114

2

Martín Hernán Benites

Santiago, Santiago Metropolitan, Chile, 7550000