Actively Recruiting

Age: 18Years +
All Genders
NCT04524091

Prediction of Inspiratory Effort Response to High PEEP in Patients Recovering From ARDS

Led by Sanatorio Anchorena San Martin · Updated on 2026-04-16

30

Participants Needed

1

Research Sites

313 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Spontaneous breathing during the transition from controlled to assisted ventilation in ARDS may be harmful, as high respiratory drive can generate large transpulmonary pressure swings and worsen lung injury. Higher PEEP may mitigate this by reducing inspiratory effort and lung stress, but patient response is variable and difficult to predict. While improved lung compliance appears to mediate the protective effects of PEEP, its bedside assessment is complex. Preclinical data suggest that changes in compliance are inversely reflected by changes in respiratory rate, but this relationship and its clinical utility in ARDS patients remain unclear.

CONDITIONS

Official Title

Prediction of Inspiratory Effort Response to High PEEP in Patients Recovering From ARDS

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Need of invasive mechanical ventilation
  • Patients who had fulfill ARDS criteria based on Berlin definition during any time of invasive mechanical ventilation
  • Patient ventilated in pressure support ventilation
  • Time of invasive ventilation expected to be longer than 24 hs after the day of enrollment
Not Eligible

You will not qualify if you...

  • Neuromuscular diseases (e.g., amyotrophic lateral sclerosis, Duchenne Erb)
  • Previous diagnosis of chronic obstructed pulmonary disease
  • Not resolved pneumothorax
  • Bronchopleural fistula
  • Suspicion of central respiratory drive alteration (e.g., benzodiazepines intoxication)

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Sanatorio Anchorena de San Martin

San Martín, Buenos Aires, Argentina, B1650CQU

Actively Recruiting

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Research Team

J

Joaquin Pérez, PT

CONTACT

J

Javier H Dorado, PT

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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