RECRUITING

Pediatric Positive End Expiratory Pressure (PEEP) Titration Using Electrical Impedence Tomography (EIT)

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The goal of this clinical trial is to perform a PEEP titration protocol and use EIT to identify the optimal PEEP at which lung overdistention and collapse are most effectively balanced. The primary and secondary aims of the study are as follows: Identify the difference between the optimal PEEP recommended by EIT metrics and the current guideline recommended approach to identifying optimal PEEP in PARDS. There will be a statistically significant difference in the recommended optimal PEEP identified using the EIT PEEP titration tool and that of the PEEP/FiO2 grid recommendations. Determine the difference in physiologic metrics between EIT optimal PEEP and the PEEP/FiO2 recommended PEEP. Participants will undergoing EIT monitoring while being subjected to PEEP titration protocol.

Official Title

Assessing Optimal Positive End-expiratory Pressure (PEEP) Using Electrical Impedance Tomography (EIT) During a PEEP Titration Protocol in Mechanically Ventilated Children with Pediatric Acute Respiratory Distress Syndrome (PARDS)

Quick Facts

Study Start:2024-12-10
Study Completion:2027-07-01
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06684119

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:0 Years to 18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:CHILD, ADULT
Inclusion CriteriaExclusion Criteria
  1. * Any person who is less than 18 years of age
  2. * is on invasive mechanical ventilation
  3. * is not spontaneously breathing
  4. * meets PARDS criteria
  1. * Contraindication to the use of EIT
  2. * Hemodynamic instability
  3. * Contraindications to hypercapnia
  4. * patients with uncuffed endotracheal or tracheostomy tubes
  5. * diagnosis of pneumothorax or bronchopleural fistula
  6. * non-conventional ventilation
  7. * any patient on extra-corporeal membrane oxygenation (ECMO) support
  8. * less than 1 week post-operatively from cardiac surgery
  9. * the following cardiac diagnoses: Glenn or Fontan physiology, significant right to left shunt
  10. * Corrected Gestational Age \< 37 weeks
  11. * pregnancy

Contacts and Locations

Study Contact

Hayden Leeds, MD
CONTACT
3233617939
hleeds@chla.usc.edu
Anoopindar Bhalla, MD
CONTACT
323-361-7939
abhalla@chla.usc.edu

Principal Investigator

Anoopindar Bhalla, MD
STUDY_DIRECTOR
Children's Hospital Los Angeles

Study Locations (Sites)

Children's Hospital Los Angeles
Los Angeles, California, 90027
United States

Collaborators and Investigators

Sponsor: Children's Hospital Los Angeles

  • Anoopindar Bhalla, MD, STUDY_DIRECTOR, Children's Hospital Los Angeles

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-12-10
Study Completion Date2027-07-01

Study Record Updates

Study Start Date2024-12-10
Study Completion Date2027-07-01

Terms related to this study

Keywords Provided by Researchers

  • positive end-expiratory pressure
  • Electrical Impedance Tomography
  • respiratory distress

Additional Relevant MeSH Terms

  • Pediatric Acute Respiratory Distress Syndrome