Status:

COMPLETED

Effect of Positive Expiratory Pressure on Right Ventricular Function in Patients With Respiratory Distress Syndrome

Lead Sponsor:

Assistance Publique - Hôpitaux de Paris

Conditions:

Respiratory Distress Syndrome, Adult

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

The objective of this study is to analyze by trans-oesophageal echocardiography the effect on the right ventricle of positive expiratory pressure (PEP) level variations with constant plate pressure am...

Detailed Description

Background: The ventilatory strategy in patients with Adult Respiratory Distress Syndrome (ARDS) is still controversial concerning the finest level of positive expiratory pressure (PEP). In fact, PEP ...

Eligibility Criteria

Inclusion

  • Intubation and artificial ventilation
  • Bilateral pulmonary opacities radiological compatible with an organic pulmonary oedema
  • PaO2/FiO2 report/ratio \< 200 mmHg
  • Not obviously clinical or echocardiographic of rise in the pressure of ventricular filling left
  • Joint presence of criteria 2, 3 and 4 since less than 72 hours

Exclusion

  • Age \<18 years
  • Pregnancy
  • Obstructive chronic broncho-pneumonopathy
  • Suspected or confirmed intracranial hypertension
  • Pneumothorax
  • Evolutionary oesophageal pathology
  • Hemodynamic instability with need of filling vascular or modification of posology of the vasopressors in the 2 hours preceding inclusion
  • PaO2/FiO2 Report/ratio \< 50 mmHg
  • Amount of adrenaline or noradrenaline higher than 2 mg/hour

Key Trial Info

Start Date :

October 1 2005

Trial Type :

INTERVENTIONAL

End Date :

September 1 2006

Estimated Enrollment :

15 Patients enrolled

Trial Details

Trial ID

NCT00236262

Start Date

October 1 2005

End Date

September 1 2006

Last Update

March 26 2007

Active Locations (1)

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HOPITAL HENRI MONDOR Department of Neurosurgery

Créteil, France, 94010