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Age: 18Years +
All Genders
ID06827184

By Assessing the Continuous Respiratory Physiological Changes Through Prone Position, Determine the Optimal Duration for Prone Position

Led by National Taiwan University Hospital · Updated on 2025-02-19

100

Participants Needed

1

Research Sites

17 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This research focuses on patients with acute respiratory distress syndrome ARDS to understand how the prone position affects lung ventilation and inflammation. The study aims to determine the best duration for prone positioning therapy by observing changes in regional lung ventilation and inflammation markers using electrical impedance tomography EIT. Researchers hope to clarify how prone positioning improves ventilation distribution by inflating collapsed alveoli and reducing overinflation. Participants will be observed while using the prone position therapy, with EIT employed to monitor continuous lung physiological changes. The study collects clinical, laboratory, imaging, and respiratory data before and after prone positioning over several days. Researchers will analyze biomarker changes and measure the response during up to five days of prone positioning. Participants will undergo serial arterial blood gas tests and other assessments as part of regular care. The primary measure is the response to prone positioning during treatment, while a secondary outcome is mortality at 28 days. The study involves continuous data collection during the prone position period, aiming to improve understanding of therapy duration and its effects on lung function and inflammation in ARDS patients.

CONDITIONS

Brief Title

By Assessing the Continuous Respiratory Physiological Changes Through Prone Position, Determine the Optimal Duration for Prone Position

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of acute respiratory distress syndrome
  • Age over 18 years
  • Serial arterial blood gas data showing PaO2/FiO2 ratio less than 150
  • Mechanical ventilator settings with FiO2 greater than 0.6 and PEEP above 5 cmH2O
Not Eligible

You will not qualify if you...

  • Presence of implantable electronic devices such as pacemakers
  • Body mass index greater than 30
  • Recent major thoracic or abdominal surgery
  • Unstable spine or pelvis conditions
  • Pregnant women in second or third trimester
  • Head trauma or elevated intracranial or intraocular pressure
  • Hemodynamically unstable patients not suitable for prone ventilation
  • Active seizure disorders

Research Team

T

Ting-Yu Liao, MD

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