CAreful Ventilation In ARDS The CAVIARDS Trial
Are you eligible to participate in this study?
You may be eligible for this study if you meet the following criteria:
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Conditions: Covid-19
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Age: Between 18 Year(s) - 100 Year(s)
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Gender: Male or Female
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Other Inclusion Criteria:
- Moderate or severe ARDS within 48 h of meeting Berlin ARDS criteria
- Within 1 week of a known clinical insult or new or worsening respiratory symptoms
- Bilateral opacities—not fully explained by effusions, lobar/lung collapse, or nodules
- Respiratory failure not fully explained by cardiac failure or fluid overload. Need objective assessment (eg, echocardiography) to exclude hydrostatic edema if no risk factor present
- PaO2/FIO2 = 200 mm Hg with PEEP = 5 cmH2O
- Moderate or severe ARDS within 48 h of meeting Berlin ARDS criteria
You may not be eligible for this study if the following are true:
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- Received continuous mechanical ventilation >7 days
- Known or clinically suspected elevated intracranial pressure (>18 mmHg) necessitating strict control of PaCO2
- Known pregnancy
- Broncho-pleural fistula
- Severe liver disease (Child-Pugh Score =10)
- BMI>40 kg/m2
- Anticipating withdrawal of life support and/or shift to palliation as the goal of care
- Already receiving ECMO at time of randomization
If you are registered as a volunteer, please log in to contact the study team/express interest in this study.