About this trial
With the exception of setting the positive end-expiratory pressure (PEEP), the expiratory phase is commonly overlooked during MV. The expiratory time constant (RCexp) plays an important role in understanding the mechanical properties of the respiratory system in patients receiving mechanical ventilation. However, it is unclear that the effect of expiratory time constant on the ventilation and perfusion distribution.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
None
Disqualifiers
age <18 years old
patient undergoing legal protection
contra-indications to EIT (e. g. severe chest trauma or wounds)
pneumothorax
Trial population
1. Intubated patients with moderate and severe ARDS (Berlin definition, PaO2/FiO2 ≤200 mmHg at PEEP 5 cmH2O) 2. undergoing deep sedation on controlled mechanical ventilation within72 hours after ARDS onset
Trial design
Case-crossover
Prospective
Treatments tested in this trial
RCexp
Other interventionpatients received different RCexp
Treatment groups
Trial outcomes
Primary outcomes
Difference in ventilation/perfusion mismatch
ventilation/perfusion mismatch is measured by EIT
Secondary outcomes
Difference in dead space
dead space is measured by EIT
Difference in shunt
shunt is measured by EIT
Sponsors and contacts
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