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Lung Recruitment Assessed by 2D/3D-EIT and R/I Ratio in Acute Respiratory Failure Patients With Mechanical Ventilation

Recruitingn/aAges 18 Years - anyAllPeking Union Medical College Hospital
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In plain words

What the trial is, and whether it could suit you

The purpose of this observational study is to assess the differences and consistency in evaluating lung recruitment potential between the recruitment-to-inflation ratio (R/I ratio) and three-dimensional electrical impedance tomography (3D-EIT) and two-dimensional EIT (2D-EIT) in mechanically ventilated patients with acute respiratory failure. The main questions it aims to answer is: Are the lung recruitment potentials predicted by 3D-EIT, 2D-EIT and the R/I ratio consistent? Participants will: Undergo a standardized PEEP titration protocol with synchronized EIT monitoring; Have R/I ratios measured at high and low PEEP levels.

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Mechanically ventilated patients under sedation and analgesia with no spontaneous breathing. * Oxygenation index \< 300 mmHg. * Patients who are clinically judged by the attending doctor to require the PEEP titration. Exclusion Criteria: * Aged under 18 years. * Pregnancy. * Contraindications for EIT examination (e.g. automatic implantable cardioverter defibrillator, implantable pumps, chest wounds limiting electrode belt placement, severe thoracic deformity, and others). * No informed consent obtained. * Hemodynamic instability with intolerance to high PEEP levels determined by the attending doctor. * High-risk populations with pneumothorax, mediastinal emphysema, and other such conditions determined by the attending doctor.
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What it tests

  • The lung recruitment potential assessed and PEEP titration by ventilator and 2D/3D EIT
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Where

1 site
Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences
Beijing, China
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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