Contribution of Transthoracic and Transcranial Ultrasonography to the Titration of PEEP in Patients With ARDS and ABI
NCT07248995 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2025-12-31
Summary
The present study will investigate whether the combined use of lung and brain ultrasonography is useful in selecting the optimal positive end-expiratory pressure in mechanically ventilated critically ill patients with acute respiratory distress syndrome and acute brain injury, aiming at an individualized, brain-protective ventilation strategy.
Conditions
- Acute Respiratory Distress Syndrome (ARDS)
- Acute Brain Injury
Interventions
- PROCEDURE
-
Stepwise Positive End-Expiratory Pressure (PEEP) Increase Protocol
The intervention includes a stepwise increase in PEEP level from 5 to 8, 12 and 16 centimeter of water (cmH2O). After each PEEP level change, lung ultrasound and transcranial doppler will be performed, and the values of intracranial pressure (ICP) and brain oxygen partial pressure (PO2), as well as the mechanical ventilation parameters, will be recorded. Arterial blood gases will be taken 20 minutes later.
Sponsors & Collaborators
-
Theodoros Schizodimos
lead OTHER
Principal Investigators
-
Theodoros Schizodimos, MD · 2nd Intensive Care Unit, George Papanikolaou General Hospital of Thessaloniki
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-01
- Primary Completion
- 2027-05-31
- Completion
- 2027-07-31
Countries
- Greece
Study Locations
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