ARDS Clinical Trial
Official title:
Three Methods for Best PEEP Determination Compared With PEEP Determination Guided by Adult Respiratory Distress Syndrome (ARDS) Network, a Crossover Study.
To compare the best Positive End Expiratory Pressure (PEEP) as determined by one of three commonly used clinical approaches for best PEEP determination, with PEEP guided by the ARDS network algorithm.
The determination of optimal level of Positive End Expiratory Pressure (PEEP) in patients
with acute hypoxemic respiratory pressure remains elusive and controversial.
Several approaches with different algorithms exist. Among them, Low PEEP algorithm approach
and High PEEP algorithm approach. These approaches are characterized by a generalized
application of certain level of PEEP according to a predefined algorithm. However, these
algorithms fail to account for inter-individual variations between patients with different
diseases and with different severities of the same underlying process. Therefore, we
advocate for an individualized application of PEEP. Whereby, PEEP will be determined
individually for each patient based on familiar and well established physiological
parameters.
;
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment
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