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

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.

Conditions

Pediatric Acute Respiratory Distress Syndrome

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Study Overview

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Study Details

Study overview

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.

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)

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

Condition
Pediatric Acute Respiratory Distress Syndrome
Intervention / Treatment

-

Contacts and Locations

Los Angeles

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

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.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Any person who is less than 18 years of age
  • * is on invasive mechanical ventilation
  • * is not spontaneously breathing
  • * meets PARDS criteria
  • * Contraindication to the use of EIT
  • * Hemodynamic instability
  • * Contraindications to hypercapnia
  • * patients with uncuffed endotracheal or tracheostomy tubes
  • * diagnosis of pneumothorax or bronchopleural fistula
  • * non-conventional ventilation
  • * any patient on extra-corporeal membrane oxygenation (ECMO) support
  • * less than 1 week post-operatively from cardiac surgery
  • * the following cardiac diagnoses: Glenn or Fontan physiology, significant right to left shunt
  • * Corrected Gestational Age \< 37 weeks
  • * pregnancy

Ages Eligible for Study

0 Years to 18 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Children's Hospital Los Angeles,

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

Study Record Dates

2027-07-01