The Efficacy of Driving Pressure-guided Lung Protective Ventilation in Surgical Repair of Acute Type A Aortic Dissection: an Open-label, Randomized Control Clinical Trial

Status: Recruiting
Location: See location...
Intervention Type: Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The study, named as The Efficacy of Driving Pressure-guided Lung Protective Ventilation in Surgical Repair of Acute Type A Aortic Dissection: an open-label, randomized control clinical trial, aims to investigate whether driving pressure-guided lung protective ventilation can reduce postoperative oxygenation function in patients who have undergone surgical repair of acute type A aortic dissection. The primary outcomes is the incidence of postoperative hypoxemia (a partial pressure of arterial oxygen to inspiratory oxygen fraction ratio less than 300 mm Hg or a peripheral blood oxygen saturation less than 93% at any concentration of inspiratory oxygen) within 7 days after the surgery.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 14
Maximum Age: 70
Healthy Volunteers: f
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• Able to sign Informed Consent and Release of Medical Information Forms;

• Age ≥ 14 years and ≤ 70 years old;

• Being confirmed the diagnosis by chest computed tomography angiography and receiving the surgical repair of acute type A aortic dissection.

Locations
Other Locations
China
Fujian medical university union hospital
RECRUITING
Fuzhou
Contact Information
Primary
Yong Lin, MD
birdman1983@163.com
13805064575
Time Frame
Start Date: 2024-01-26
Estimated Completion Date: 2025-12-31
Participants
Target number of participants: 43
Treatments
Experimental: Driving pressure-guided lung protective ventilation during the surgery
A 10-cycle experimental ventilation will be carried out at each level of positive end expiratory pressure after intubation, and the driving pressure of the last cycle will be recorded. The positive end expiratory pressure value corresponding to the lowest driving pressure is recognised as the optimal ventilation parameter.
Other: Conventional lung protective ventilation
Positive end expiratory pressure will be maintained at the level facilitating optimal oxygenation during the off-pump period.
Sponsors
Leads: Yong Lin, PhD

This content was sourced from clinicaltrials.gov