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Physiological Effects of External PEEP in Controlled Mechanical Ventiated Patients With autoPEEP
Sponsor: Hospital Donación Francisco Santojanni
Summary
This experimental physiologic study is conducted to determine the effect of different mechanical ventilation settings (in terms of positive end-expiratory pressure) on patients receiving mechanical ventilation with expiratory flow obstruction and autoPEEP. The main question it aims to answer In patients with autoPEEP, what is the effect of applying external PEEP on gas exchange and the lung emptying pattern in patients with total ventilatory support? Participants must comply: \- Age \> 17 years. * Invasive mechanical ventilation (endotracheal tube or tracheostomy) in controlled mode, with SpO2 \> 90%, for more than 12 hours. * No contraindications for abdominal compression. * Presence of autoPEEP greater than 3 cmH2O measured in mechanical ventilation with total support and ZEEP. * Total mechanical respiratory support, without respiratory muscle activity (inspiratory or expiratory).
Official title: Effects of External PEEP in Controlled Mechanical Ventiated Patients With autoPEEP. A Physiological Study
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
20
Start Date
2025-09-10
Completion Date
2027-04-10
Last Updated
2026-05-28
Healthy Volunteers
No
Conditions
Interventions
PEEP titration
External PEEP will be increased by 3 cmH₂O, from 0 to 15 cmH₂O.
Locations (1)
Hospital Santojanni
Buenos Aires, Argentina