Chest Wall Influence on Respiratory System Mechanics in Morbidly Obese Patients
NCT02105220 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 14
Last updated 2015-03-25
Summary
The goal of this study is to describe the influence of the chest wall on the respiratory system mechanics in morbidly obese patients and in patients with high intra-abdominal pressure.
The effects of increasing and decreasing positive end-expiratory pressure (PEEP) on chest wall and total respiratory system mechanics, lung volumes and gas exchange will be evaluated, both during controlled and assisted mechanical ventilation.
Patients will be studied, first, during the acute phase of respiratory failure, when requiring intubation and controlled mechanical ventilation. Then, patients will be evaluated again during weaning from the ventilator to assess the influence of PEEP in assisted ventilation prior to extubation.
Conditions
- Obesity
- Intra-Abdominal Hypertension
Interventions
- OTHER
-
Respiratory mechanics assessment
Data collection on respiratory mechanics, end expiratory lung volumes, gas exchanges, work of breathing. Data will be obtained by setting different end expiratory pressures and recording esophageal and airways pressure tracings.
Sponsors & Collaborators
-
Massachusetts General Hospital
lead OTHER
Principal Investigators
-
Robert M Kacmarek, PhD RRT · Massachusetts General Hospital
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-08-31
- Primary Completion
- 2015-01-31
- Completion
- 2015-03-31
Countries
- United States
Study Locations
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