Respiratory trials

 

ARDSnet 2000

Question

Tidal volume in ARDS

Background

Old studies showed high VT reduces atelectasis

Type

Multi-centre RCT

Subjects

ARDS

Groups

New: VT 6mL/kg and Pplat <30cmH2O

Old: VT 12mL/kg

Upshot (new way)

↓Mortality

↓Time on ventilator

 

PROSEVA 2013

Question

Proning in ARDS

Type

Multi-national RCT

Subjects

ARDS intubated >36 hours

Groups

Prone 16/24 vs supine 24/24

Upshot

↓↓Mortality 50%

↔Adverse effects from proning

 

OSCILLATE 2013

Question

High frequency oscillatory ventilation in ARDS

Type

Multi-national RCT

Subjects

Early ARDS

Groups

HFOV vs conventional

Upshot

↑↑Mortality -> study terminated early

 

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