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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RM after BAL | Experimental | patients underwent RM after BAL |
|
| Non-RM after BAL | No Intervention | patients did not undergo RM after BAL |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Recruitment Maneuver | Other | RM after BAL |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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 | up to 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | up to 24 hours |
| respiratory system compliance (the tidal volume to the driving pressure ratio) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| ling liu, phD | Contact | 86-25-83272201 | liulingdoctor@126.com | |
| ling liu, phD | Contact | 86-25-83272201 |
| Name | Affiliation | Role |
|---|---|---|
| ling liu, phD | Zhongda Hospital | Principal Investigator |
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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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respiratory system compliance was calculated by dividing expiratory tidal volume by the driving pressure (plateau pressure minus positive end-expiratory pressure) |
| up to 24 hours |