Head Elevation in Prone Position

Medical University of Vienna20 enrolled

Overview

Semi-recumbent position leads to improvement of gas exchange and lung mechanics in patients suffering from ALI or ARDS. Prone positioning leads to similar effects. To date, no data on the combination of these two positioning measures exist. The investigators hypothesize that head elevation in prone position leads to improvement in gas exchange and lung mechanics.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Gas Exchange Lung Mechanics

Interventions

Prone position with head elevationPROCEDURE

Head elevation of 30° in prone position (Ant-Trendelenburg position of the whole bed)

Eligibility

Sex: ALLMin age: 18 YearsMax age: 89 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Mechanically ventilated * ALI or ARDS * No contraindications for prone position Exclusion Criteria: * Patient \< 18 or \> 89 years old * Pregnancy * Elevated intracranial pressure * PaO2/FiO2 - ratio \< 60 * ECMO * Open abdomen * Instable spine * Malignant arrhythmias * Severe hemodynamic instability

Locations (1)

Dept. of Internal Medicine I, Intensive Care Unit, Medical University of Vienna

Vienna, Austria

Outcomes

Primary Outcomes

PaO2/FiO2 ratio

Time frame: Study period (5 hours on 2 consecutive days)

Secondary Outcomes

PaCO2, Compliance (Chest wall, lung, respiratory system)

Time frame: Study period (5 hours on 2 consecutive days)

Data from ClinicalTrials.gov

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