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Recruitment Maneuver After Bronchoalveolar Lavage in ARDS Patients

Primary Purpose

Acute Respiratory Distress Syndrome

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Recruitment Maneuver
Sponsored by
Southeast University, China
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Acute Respiratory Distress Syndrome

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Adult patients with invasive mechanical ventilation;
  2. Patients who diagnosed with ARDS according to the Berlin definition
  3. There are indications for bronchoalveolar lavage

Exclusion Criteria:

  1. Patients with contraindications for EIT procedures;
  2. Patients with contraindications for RM;
  3. Previous chronic respiratory diseases (long-term home oxygen therapy for chronic respiratory diseases such as pulmonary fibrosis or COPD);
  4. Pregnancy;
  5. Refusal to sign informed consent

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    No Intervention

    Arm Label

    RM after BAL

    Non-RM after BAL

    Arm Description

    patients underwent RM after BAL

    patients did not undergo RM after BAL

    Outcomes

    Primary Outcome Measures

    the ratio of tidal volume in the BAL side and the other side
    distribution of tidal volume monitored by electrical impedance tomography from the BAL side to the other side

    Secondary Outcome Measures

    partial pressure of arterial oxygen (Pao2) to the fraction of inspired oxygen (Fio2) ratio
    partial pressure of arterial oxygen (Pao2) to the fraction of inspired oxygen (Fio2) ratio
    respiratory system compliance (the tidal volume to the driving pressure ratio)
    respiratory system compliance was calculated by dividing expiratory tidal volume by the driving pressure (plateau pressure minus positive end-expiratory pressure)

    Full Information

    First Posted
    April 20, 2022
    Last Updated
    October 27, 2022
    Sponsor
    Southeast University, China
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05372731
    Brief Title
    Recruitment Maneuver After Bronchoalveolar Lavage in ARDS Patients
    Official Title
    Recruitment Maneuver After Bronchoalveolar Lavage in ARDS Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    November 30, 2022 (Anticipated)
    Primary Completion Date
    December 30, 2022 (Anticipated)
    Study Completion Date
    December 30, 2022 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Southeast University, China

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    ARDS caused by pneumonia is one of the main reasons for ICU admission in critically ill patients, and also a common complication in patients admitted to ICU with invasive mechanical ventilation. Bronchoalveolar lavage (BAL) is the main diagnostic method for these patients, which often leads to alveolar collapse and exacerbates hypoxemia. In clinical practice, recruitment maneuver (RM) is often used immediately after BAL to prevent such a situation, but there is a lack of data on RM after BAL.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Acute Respiratory Distress Syndrome

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    40 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    RM after BAL
    Arm Type
    Experimental
    Arm Description
    patients underwent RM after BAL
    Arm Title
    Non-RM after BAL
    Arm Type
    No Intervention
    Arm Description
    patients did not undergo RM after BAL
    Intervention Type
    Other
    Intervention Name(s)
    Recruitment Maneuver
    Intervention Description
    RM after BAL
    Primary Outcome Measure Information:
    Title
    the ratio of tidal volume in the BAL side and the other side
    Description
    distribution of tidal volume monitored by electrical impedance tomography from the BAL side to the other side
    Time Frame
    up to 24 hours
    Secondary Outcome Measure Information:
    Title
    partial pressure of arterial oxygen (Pao2) to the fraction of inspired oxygen (Fio2) ratio
    Description
    partial pressure of arterial oxygen (Pao2) to the fraction of inspired oxygen (Fio2) ratio
    Time Frame
    up to 24 hours
    Title
    respiratory system compliance (the tidal volume to the driving pressure ratio)
    Description
    respiratory system compliance was calculated by dividing expiratory tidal volume by the driving pressure (plateau pressure minus positive end-expiratory pressure)
    Time Frame
    up to 24 hours

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Adult patients with invasive mechanical ventilation; Patients who diagnosed with ARDS according to the Berlin definition There are indications for bronchoalveolar lavage Exclusion Criteria: Patients with contraindications for EIT procedures; Patients with contraindications for RM; Previous chronic respiratory diseases (long-term home oxygen therapy for chronic respiratory diseases such as pulmonary fibrosis or COPD); Pregnancy; Refusal to sign informed consent
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    ling liu, phD
    Phone
    86-25-83272201
    Email
    liulingdoctor@126.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    ling liu, phD
    Phone
    86-25-83272201
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    ling liu, phD
    Organizational Affiliation
    Zhongda Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    Recruitment Maneuver After Bronchoalveolar Lavage in ARDS Patients

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