Transpulmonary Pressure-guided Mechanical Ventilation Strategy in Right Ventricular Protection in Patients With ARDS
NCT07490925 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 180
Last updated 2026-08-12
Summary
To verify whether the transpulmonary pressure-guided mechanical ventilation strategy can reduce right ventricular involvement, especially the incidence of acute cor pulmonale (ACP), in patients with moderate to severe ARDS induced by pneumonia compared with the currently widely used right ventricular protective mechanical ventilation strategy.
Conditions
- ARDS (Moderate or Severe)
Interventions
- DEVICE
-
Transpulmonary pressure guided mechanical ventilation strategy
Tidal volume is adjusted to achieve a target tidal volume of 6 mL/kg predicted body weight (PBW) while controlling end-inspiratory transpulmonary pressure ≤ 20 cmH₂O. PEEP is adjusted to maintain end-expiratory transpulmonary pressure between 0 and 2 cmH₂O. In control group, PEEP was titrated using the low PEEP:FiO₂ table method.
Sponsors & Collaborators
-
Beijing Chao Yang Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-09
- Primary Completion
- 2028-03-31
- Completion
- 2028-12-31
Countries
- China
Study Locations
More Related Trials
-
Effect of Airway Pressure Release Ventilation on Right Ventricular Function Assessed by Transthoracic Echocardiography
NCT05414110 ·Status: UNKNOWN
-
Practices of Prone Positioning Ventilation in Patients With Moderate-to-Severe ARDS in Intensive Care Units: A Registry-Based Observational Study
NCT07284888 ·Status: RECRUITING
-
Impact of the Transpulmonary Pressure on Right Ventricle Function in Acute Respiratory Distress Syndrome
NCT04184674 ·Status: COMPLETED ·Phase: NA
-
Effects of TCAV and Volume Control Ventilation on the Distribution of Aerated Lung Parenchyma in ARDS Patients
NCT05874973 ·Status: RECRUITING ·Phase: NA
-
Airway Pressure Release Ventilation (APRV) Compared to ARDSnet Ventilation
NCT00793013 ·Status: WITHDRAWN ·Phase: PHASE2
-
Evaluate the Effect of Prone Ventilation on Ventilated-blood Flow Ratio in Patients With ARDS by EIT
NCT06181539 ·Status: COMPLETED
-
A Multicenter, Random Control Study :Early Use of Airway Pressure Release Ventilation (APRVplus) Protocol in ARDS
NCT03549910 ·Status: RECRUITING ·Phase: NA
-
Optimization of PEEP for Alveolar Recruitment in ARDS
NCT01949272 ·Status: COMPLETED
-
Association Between Driving Transpulmonary Pressure and Extravascular Lung Water in Patients with ARDS
NCT05474196 ·Status: RECRUITING
-
Trans-pulmonary Pressure in ARDS
NCT02416037 ·Status: COMPLETED ·Phase: NA
-
Airway Pressure Release Ventilation as a Preventative Strategy
NCT00813371 ·Status: WITHDRAWN ·Phase: NA
-
A Prediction Model of Prolonged Mechanical Ventilation Following Acute Type A Aortic Dissection Surgery
NCT06929780 ·Status: NOT_YET_RECRUITING
-
The Value of Combined Critical Care Ultrasound and PAC Monitor Oriented Therapy Protocol to Patients of ARDS With ACP
NCT03971331 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of Airway Pressure Release Ventilation in COVID-19 ARDS
NCT04386369 ·Status: COMPLETED
-
Effect of APRV vs. LTV on Right Heart Function in ARDS Patients: a Single-center Randomized Controlled Study
NCT05922631 ·Status: COMPLETED ·Phase: NA
-
Effects of Different Driving Pressure on Lung Stress, Strain and Mechanical Power in Patients With Moderate to Severe ARDS
NCT03616704 ·Status: UNKNOWN
-
Specific Mechanical Power Assessment in Patients With Acute Respiratory Distress Syndrome
NCT05410262 ·Status: COMPLETED
-
Decrease of Lesions Induced by Mechanical Ventilation During ARDS
NCT03918603 ·Status: TERMINATED ·Phase: NA
-
Effect of Mechanical Ventilation Strategy on Lung Injury in Patients With Less Severe Acute Respiratory Distress Syndrome: Targeted on RAGE
NCT01301872 ·Status: UNKNOWN ·Phase: NA
-
Role of Pulmonary Perfusion on Tolerance to Supine Position in Patients With ARDS
NCT05408442 ·Status: COMPLETED
-
Ultra Protective Ventilation Without Extracorporeal Circulation in Severe ARDS Patients (VT4ARDS)
NCT02816372 ·Status: COMPLETED ·Phase: NA
-
The Effect of Positive End-Expiratory Pressure on Functional Residual Capacity During Mechanical Ventilation
NCT03511651 ·Status: UNKNOWN ·Phase: NA
-
Lung Imaging for Ventilatory Setting in ARDS
NCT02149589 ·Status: COMPLETED ·Phase: NA
-
Machine Learning Prediction of Mortality After Prone Positioning in ARDS
NCT07445061 ·Status: NOT_YET_RECRUITING
-
The Effect of Preemptive APRV on Patients With High Risk for ARDS
NCT04699513 ·Status: COMPLETED ·Phase: NA