Acute Respiratory Distress Syndrome Clinical Trial
Official title:
Positive End-expiratory Pressure Induced Lung Recruitment -Comparison Between Ultrasonographic Assessment and Lower Inflection Point Assessment on the Pressure -Volume Loop
The purpose of this study is to compare lung recruitment in acute lung injury (ALI)/acute respiratory distress syndrome (ARDS) based on lower inflection point with transthoracic ultrasonographic assessment of lung recruitment.
Sedated and sometimes temporary relaxed patients with ALI/ARDS on mechanical ventilation in
semirecumbent position are included. Lower inflection point on pressure volume loop on
ventilator Draeger Evita 4 with low continuous flow on volume controlled ventilation is
measured with zero PEEP. Transthoracic lung ultrasound with linear probe is proceed on both
hemithoraces when mechanical ventilation based on measured PEEP is started. We compare if
real lung recruitment seen by ultrasound is the same as predicted by lower inflection point.
The procedure is a part of routine everyday respiratory monitoring in our unit.
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Observational Model: Case Control
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