Use of Lung Ultrasound in Evaluating Physiological Response to Awake Self Proning
11. november 2021 opdateret af: Jie Li, Rush University Medical Center
The primary objective of this study is to explore the physiological mechanism of awake, self proning among patients with acute hypoxemic respiratory failure induced by COVID-19, using LUS in the first three days and explore the predictive value of LUS in patients' outcome.
Studieoversigt
Status
Afsluttet
Betingelser
Detaljeret beskrivelse
Lung ultrasound (LUS) has recently gained popularity among the imaging methods to perform bedside assessment of critically ill patients to guide clinical management.
LUS is a non-invasive and easy-to-perform procedure that provides precise data on lung aeration, lung recruitment, lung morphology, and lung perfusion.
Studies have shown that LUS is a useful tool in monitoring lung reaeration in intubated patients diagnosed with traditional ARDS undergoing prone positioning; however there are mixed findings in terms of the use of LUS in predicting potential prone positioning response.
A recent study found that the non-intubated COVID-19 patients who responded to prone positioning had more pronounced disturbances of aeration in posterior regions, however, they only investigated patients' response to the first prone positioning and the information for the patients' outcome is lacking.
In our previous study with intubated COVID-19 patients, we found that patients' response to the subsequent prone positioning had higher predictive value than the response to the first prone positioning.
Therefore, the primary objective of this study is to explore the physiological mechanism of awake, self proning among patients with acute hypoxemic respiratory failure induced by COVID-19, using LUS in the first three days and explore the predictive value of LUS in patients' outcome.
Undersøgelsestype
Observationel
Tilmelding (Faktiske)
74
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Illinois
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Chicago, Illinois, Forenede Stater, 60612
- Rush University Medical Center
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Jalisco
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Guadalajara, Jalisco, Mexico, 44280
- Hospital Civil Fray Antonio Alcalde
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
N/A
Køn, der er berettiget til at studere
Alle
Prøveudtagningsmetode
Ikke-sandsynlighedsprøve
Studiebefolkning
Adult patients with acute hypoxemic respiratory failure due to COVID-19 who are admitted at Rush University Medical Center
Beskrivelse
Inclusion Criteria:
- Adult subjects 18 years and older,
- Confirmed COVID-19 diagnosis
- Acute hypoxemic respiratory failure (SpO2/FiO2 or PaO2/FiO2 <300)
- Ordered self-prone positioning per medical team
Exclusion Criteria:
- Pregnant
- Palliative care
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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SpO2/FiO2 pre prone in day 1
Tidsramme: pre prone in day 1
|
Patients' response of oxygenation using SpO2/FiO2
|
pre prone in day 1
|
|
SpO2/FiO2 post prone in day 1
Tidsramme: post prone in day 1
|
Patients' response of oxygenation using SpO2/FiO2
|
post prone in day 1
|
|
SpO2/FiO2 pre prone in day 2
Tidsramme: Pre prone in day 2
|
Patients' response of oxygenation using SpO2/FiO2
|
Pre prone in day 2
|
|
SpO2/FiO2 post prone in day 2
Tidsramme: Post prone in day 2
|
Patients' response of oxygenation using SpO2/FiO2
|
Post prone in day 2
|
|
SpO2/FiO2 pre prone in day 3
Tidsramme: Pre prone in day 3
|
Patients' response of oxygenation using SpO2/FiO2
|
Pre prone in day 3
|
|
SpO2/FiO2 post prone in day 3
Tidsramme: Post prone in day 3
|
Patients' response of oxygenation using SpO2/FiO2
|
Post prone in day 3
|
|
Lung Ultrasound Score pre prone in day 1
Tidsramme: Pre prone in day 1
|
Patients' response of oxygenation using Lung ultrasound score
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Pre prone in day 1
|
|
Lung Ultrasound Score post prone in day 1
Tidsramme: Post prone in day 1
|
Patients' response of oxygenation using Lung ultrasound score
|
Post prone in day 1
|
|
Lung Ultrasound Score pre prone in day 2
Tidsramme: Pre prone in day 2
|
Patients' response of oxygenation using Lung ultrasound score
|
Pre prone in day 2
|
|
Lung Ultrasound Score post prone in day 2
Tidsramme: Post prone in day 2
|
Patients' response of oxygenation using Lung ultrasound score
|
Post prone in day 2
|
|
Lung Ultrasound Score pre prone in day 3
Tidsramme: Pre prone in day 3
|
Patients' response of oxygenation using Lung ultrasound score
|
Pre prone in day 3
|
|
Lung Ultrasound Score post prone in day 3
Tidsramme: Post prone in day 3
|
Patients' response of oxygenation using Lung ultrasound score
|
Post prone in day 3
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Samarbejdspartnere
Efterforskere
- Ledende efterforsker: Jie Li, Rush University
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Weiss TT, Cerda F, Scott JB, Kaur R, Sungurlu S, Mirza SH, Alolaiwat AA, Kaur R, Augustynovich AE, Li J. Prone positioning for patients intubated for severe acute respiratory distress syndrome (ARDS) secondary to COVID-19: a retrospective observational cohort study. Br J Anaesth. 2021 Jan;126(1):48-55. doi: 10.1016/j.bja.2020.09.042. Epub 2020 Oct 10.
- Langer T, Brioni M, Guzzardella A, Carlesso E, Cabrini L, Castelli G, Dalla Corte F, De Robertis E, Favarato M, Forastieri A, Forlini C, Girardis M, Grieco DL, Mirabella L, Noseda V, Previtali P, Protti A, Rona R, Tardini F, Tonetti T, Zannoni F, Antonelli M, Foti G, Ranieri M, Pesenti A, Fumagalli R, Grasselli G; PRONA-COVID Group. Prone position in intubated, mechanically ventilated patients with COVID-19: a multi-centric study of more than 1000 patients. Crit Care. 2021 Apr 6;25(1):128. doi: 10.1186/s13054-021-03552-2.
- Wang XT, Ding X, Zhang HM, Chen H, Su LX, Liu DW; Chinese Critical Ultrasound Study Group (CCUSG). Lung ultrasound can be used to predict the potential of prone positioning and assess prognosis in patients with acute respiratory distress syndrome. Crit Care. 2016 Nov 30;20(1):385. doi: 10.1186/s13054-016-1558-0.
- Avdeev SN, Nekludova GV, Trushenko NV, Tsareva NA, Yaroshetskiy AI, Kosanovic D. Lung ultrasound can predict response to the prone position in awake non-intubated patients with COVID-19 associated acute respiratory distress syndrome. Crit Care. 2021 Jan 25;25(1):35. doi: 10.1186/s13054-021-03472-1. No abstract available.
- Ibarra-Estrada M, Gamero-Rodriguez MJ, Garcia-de-Acilu M, Roca O, Sandoval-Plascencia L, Aguirre-Avalos G, Garcia-Salcido R, Aguirre-Diaz SA, Vines DL, Mirza S, Kaur R, Weiss T, Guerin C, Li J. Lung ultrasound response to awake prone positioning predicts the need for intubation in patients with COVID-19 induced acute hypoxemic respiratory failure: an observational study. Crit Care. 2022 Jun 27;26(1):189. doi: 10.1186/s13054-022-04064-3.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
21. juli 2021
Primær færdiggørelse (Faktiske)
7. oktober 2021
Studieafslutning (Faktiske)
23. oktober 2021
Datoer for studieregistrering
Først indsendt
13. april 2021
Først indsendt, der opfyldte QC-kriterier
21. april 2021
Først opslået (Faktiske)
22. april 2021
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
15. november 2021
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
11. november 2021
Sidst verificeret
1. november 2021
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
- 21040601
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