Acute Respiratory Distress Syndrome Clinical Trial
Official title:
Impact of Alveolar Recruitment Maneuver on Extravascular Lung Water of Patients With Acute Lung Injury/Acute Respiratory Distress Syndrome.
The purpose of this study is to investigate the change of extravascular lung water (EVLW), cytokine and oxygenation parameters in patients with acute lung injury (ALI) or acute respiratory distress syndrome (ARDS) after alveolar recruitment maneuver.
This investigation is a prospective randomized control study. Informed consents will be
obtained from all patients or their surrogates prior to the procedure of alveolar
recruitment maneuver and PiCCO monitoring system.
Patients and methods:
From September 2010 to September 2012, consecutive patients with ALI/ARDS undergo alveolar
recruitment maneuver will be enrolled at Chang Gung Memorial Hospital, a
university-affiliated hospital in Taiwan. EVLW will be measured by PiCCO monitoring system,
alveolar recruitment maneuver will be setting by protocol under supervision of chest
physicians and respiratory therapists. Serum cytokine such as endothelin-1, TNF-, IL-6,
Tie-1, Tie-2, angiopoietin-1, angiopoietin-2,VEGF and thrombomodulin will be measured.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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