Potential Biomarkers and Pathogenic Mechanism for Reflux Aspiration-induced Lung Injury.
NCT06164639 · Status: ENROLLING_BY_INVITATION · Type: OBSERVATIONAL · Enrollment: 28
Last updated 2025-07-30
Summary
There is limited research on aspiration pneumonia-induced ARDS (Acute Respiratory Distress Syndrome), and currently there is a lack of studies on corresponding biomarkers and pathogenic mechanisms. We hypothesize that pH and amylase in BAL (Bronchoalveolar Lavage) may serve as candidate biomarkers for inhalation-induced ARDS. Furthermore, we use EIT analysis to explore the pathological mechanisms of ARDS induced by AP and evaluate the clinical value of NO in improving hypoxemia.
Conditions
- ARDS, Human
- Aspiration Pneumonia
Interventions
- BEHAVIORAL
-
aspiration
Based on whether the patient meets the diagnosis of aspiration pneumonia.
- DIAGNOSTIC_TEST
-
bronchial alveolar fluid
Performing bronchoscopy.
- DEVICE
-
EIT V/Q test
Local pulmonary ventilation and perfusion are measured by electrical impedance tomography (EIT). For perfusion imaging, 10 ml of 5% saline is injected as a central venous bolus. The matching of ventilation and perfusion reveals intrapulmonary shunting.
- OTHER
-
Nitric oxide inhalation
According to the physician's judgment and the family members' consent, the patient is administered nitric oxide inhalation at a dosage of 20-30 parts per million (ppm).
Sponsors & Collaborators
-
Shanghai Zhongshan Hospital
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 99 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-11-28
- Primary Completion
- 2025-11-28
- Completion
- 2026-11-28
Countries
- China
Study Locations
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