早期病理生理驱动的气道压力释放通风与中度至重度ARDS患者的低潮量通风策略相比:随机,多中心,受控试验的研究协议
Yongfang Zhou1, Jiangli Cheng2, Shuo Zhu2
1Department of Respiratory Care, West China Hospital of Sichuan University, Guoxue Alley 37#, Wuhou District, Chengdu, Sichuan, 610041, China. zyfmg@163.com.
BMC pulmonary medicine
|May 23, 2024
概括
这项研究将早期病理生理驱动的气道压力释放通风 (APRV) 与中度至重度急性呼吸困扰综合征 (ARDS) 患者的低潮量通风 (LTV) 进行比较. 目标是确定APRV是否与LTV相比提高了生存率并减少了肺损伤.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统生理学 呼吸系统生理学
- 临床试验 临床试验
背景情况:
- 传统的机械通风可以通过气膜过度膨胀和崩 (atelectrauma) 恶化ARDS患者的肺损伤.
- 气道压力释放通风 (APRV) 在动物模型中显示出希望,但临床实施和结果仍在争论中.
- 这项研究解决了对ARDS早期,病理生理学驱动的APRV与标准低潮量 (LTV) 通风的证据需求.
研究的目的:
- 评估早期病理生理学驱动的APRV策略与LTV通风相比对中度至重度ARDS28天死亡率的影响.
- 评估二次结果,包括氧化,生理参数和临床恢复 (例如,无呼吸器日).
主要方法:
- 一项前性的多中心随机临床试验 (APRVplus试验),涉及中国至少35家医院的840名患者.
- 早期病理生理学驱动的APRV方法与对照LTV肺保护性通风策略之间的比较.
- 主要终点:28天全因死亡率;次要终点:氧化,生理学,无呼吸器日,ICU/住院和死亡率,以及不良事件.
主要成果:
- 本部分应在研究结果可用后填写.
结论:
- 本部分应在研究结果可用后填写.
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