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30% of ARDS patients ventilated according to NIH protocol presents CT scan evidence of hyperinflation. Functional analysis of pressure-time curve (Stress Index=SI) has been shown to identify this condition in experimental settings. We tested the hypothesis that the SI is an accurate predictor of mechanical stress due to overdistention in ARDS patients.
The study presents two parts : a preliminary validation study and a clinical study.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Change ventilatory parameters with stress index monitoring | Procedure |
| Measure | Description | Time Frame |
|---|---|---|
| reduction of pulmonary inflammatory mediators |
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Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| V. M. Ranieri, MD | Contact | 00390116334001 | marco.ranieri@unito.it | |
| P. Terragni, MD | Contact | 00390116334002 | pierpaolo.terragni@unito.it |
| Name | Affiliation | Role |
|---|---|---|
| V. M. Ranieri, MD | University of Turin, Italy | Study Director |
| P. Terragni, MD | University of Turin, Italy | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Turin, Department of Anesthesia and Intensive Care Medicine | Recruiting | Turin | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11046222 | Background | Ranieri VM, Zhang H, Mascia L, Aubin M, Lin CY, Mullen JB, Grasso S, Binnie M, Volgyesi GA, Eng P, Slutsky AS. Pressure-time curve predicts minimally injurious ventilatory strategy in an isolated rat lung model. Anesthesiology. 2000 Nov;93(5):1320-8. doi: 10.1097/00000542-200011000-00027. | |
| 15071395 | Background |
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| ID | Term |
|---|---|
| D012128 | Respiratory Distress Syndrome |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
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| Grasso S, Terragni P, Mascia L, Fanelli V, Quintel M, Herrmann P, Hedenstierna G, Slutsky AS, Ranieri VM. Airway pressure-time curve profile (stress index) detects tidal recruitment/hyperinflation in experimental acute lung injury. Crit Care Med. 2004 Apr;32(4):1018-27. doi: 10.1097/01.ccm.0000120059.94009.ad. |