Acute Respiratory Distress Syndrome Clinical Trial
Background: Lung contusion affects 17%-25% of adult blunt trauma patients, and is the
leading cause of death from blunt thoracic injury. Statins are lipid-lowering drugs with
recently suggested anti-inflammatory and antioxidant properties. Cyclo-oxygenase-2 (COX-2)
is a key enzyme in the production of prostaglandins (PG), and evidence suggests that COX-2
plays an important role in the pathogenesis of acute lung injury (ALI).
Aims: The current study aims at evaluating the beneficial effects of statins and COX-2
receptor inhibitors on ALI elicited by blunt trauma to the chest.
Methods: After approval by the institutional ethics and a scientific committee, and
obtaining informed consent , patients admitted to the emergency department (ED) due to blunt
trauma with a diagnosis of lung contusion will be enrolled in the study.The effects of
statins and COX 2 inhibitors on ALI will be assessed by recording clinical parameters and
measuring inflammatory mediators levels in the serum and in the bronchoalveolar space.
Expected results: The investigators expect to find that the proposed treatment will be
effective in reducing ALI burden. The investigators also suppose that using a combination of
those drugs will synergistically potentiate their effect on ALI.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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