Breathing Effort in Covid-19 Pneumonia: Effects of Positive Pressure, Inspired Oxygen Fraction and Decubitus
NCT04885517 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 72
Last updated 2021-05-14
Summary
The study investigates the role of positive pressure, inspired oxygen fraction and different decubiti (seated, supine, prone) on breathing effort (as assessed by esophageal pressure swings) in Covid-19 pneumonia (at different disease stages) and in other causes of respiratory failure. The hypothesis is that positive pressure might be deleterious in terms of breathing effort if the main pathological mechanism associated with Sars-CoV-2 infection in the lung is not alveolar damage (as in other causes of respiratory failure) but vascular impairment as previously reported. The effects of high inspired oxygen fractions and decubiti might also be different with respect to other causes of respiratory failure.
Conditions
Interventions
- DEVICE
-
Esophageal catheter
Patients are equipped with an esophageal catheter: positioning is performed after accurate nasopharyngeal anesthesia with lidocaine
Sponsors & Collaborators
-
San Luigi Gonzaga Hospital
lead OTHER
Principal Investigators
-
Pietro Caironi, MD · San Luigi Gonzaga Hospital
-
Lorenzo Giosa, MD · San Luigi Gonzaga Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-02-01
- Primary Completion
- 2021-08-01
- Completion
- 2021-08-01
Countries
- Italy
Study Locations
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