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The study aims to investigate the association between effects of PEEP on gas exchange model parameters and CT scan results
In ARDS patients on mechanical ventilation, we will compare model-based estimation of gas exchange parameters (shunt, ventilation/perfusion mismatch) with CT-based estimation of effects of low and high PEEP
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ALPE-TAC | Experimental | ARDS patients on mechanical ventilation. Measurement of CT scan at PEEP of 5, 20 and 45 cm H2O to evaluate potential for recruitment and measurement of gas exchange by model-based method and FiO2 titration at PEEP of 5 and 20 cm H2O |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ALPE | Diagnostic Test | Measurement of CT scan at PEEP of 5, 20 and 45 cm H2O Measurement of gas exchange by model-based method and FiO2 titration at PEEP of 5 and 20 cm H2O |
|
| Measure | Description | Time Frame |
|---|---|---|
| Gas Exchange and lung recruitability at diferent PEEP levels | Gas exchange (At PEEP 5 and 20 cm H2O), CT scan (At PEEP 5, 20 and 45 cm H2O) | Approximately two hours |
| Measure | Description | Time Frame |
|---|---|---|
| Physiologic Parameter 1 | Hemodynamic assessment at different PEEP levels | Approximately two hours |
| Physiologic Parameter 2 | Respiratory mechanics at different PEEP levels |
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Inclusion Criteria:
- ARDS patients requiring mechanical ventilation
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico | Milan | MI | 20122 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32293506 | Derived | Karbing DS, Panigada M, Bottino N, Spinelli E, Protti A, Rees SE, Gattinoni L. Changes in shunt, ventilation/perfusion mismatch, and lung aeration with PEEP in patients with ARDS: a prospective single-arm interventional study. Crit Care. 2020 Mar 23;24(1):111. doi: 10.1186/s13054-020-2834-6. |
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| Approximately two hours |