Acute Respiratory Failure Clinical Trial
Official title:
Validation of a New Automated System for Continuous Real-time Monitoring of Transpulmonary Pressure During Invasive Mechanical Ventilation in Patients With Acute Respiratory Failure
Patients admitted to Intensive Care Unit often are affected by acute respiratory failure at
admission or during hospital stay, with a mortality of 30%.
Treatment remains largely supportive with mechanical ventilation as the mainstay of
management by improving the hypoxemia and reducing the work of breathing; however, the
mechanical forces generated during ventilation can further enhance pulmonary inflammation and
edema, a process that has been termed ventilator induced lung injury (VILI). Consequently, in
clinical practice the lung protective ventilation is mainly based on the reduction of the
tidal volume, the airway and the transpulmonary plateau pressure. A good clinical practice is
based on the assessment of changes in respiratory mechanics.
Aim of the study is to determine the accuracy of the OPTIVENT system in measuring
transpulmonary pressure, comparing it with the systems currently in use in our Operative
Unit.
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