Ignite Creation Date:
2024-05-06 @ 7:50 PM
Last Modification Date:
2024-10-26 @ 3:15 PM
Study NCT ID:
NCT06159933
Status:
COMPLETED
Last Update Posted:
2024-02-01
First Post:
2023-11-28
Brief Title:
Primary Graft Dysfunction Pronation Bilateral Lung Transplants
Sponsor:
University of Padova
Organization:
University of Padova
Study Overview
Official Title:
Early Prone Positioning as a Rescue Therapy for Severe Primary Graft Dysfunction After Bilateral Lung Transplant
Status:
COMPLETED
Status Verified Date:
2024-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Proning manoeuvre as an early treatment for acute severe hypoxic respiratory failure has been implemented recently during the COVID-19 pandemic This method was proposed more than fifty years ago to improve gas exchange Proning Severe ARDS PROSEVA trial however was the milestone which demonstrated mortality benefit in patients with severe ARDS Nevertheless few analysis were performed on the effects of the prone position after lung transplantion LT The aim of the study is therefore to relate LT primary graft dysfunction PGD pathophysiology which occurs in postoperative setting to prone-positioning effects on ventilation-perfusion matching improved lung compliance and clinical outcomes of impairedorgan patients
Detailed Description:
Lung transplant is the final stage of intervention in dramatic respiratory failure unresponsive to other medical or surgical treatments reduced disability improved life quality and extended life are outweighed by still high mortality and morbidity of LT compared to other solid organs transplants LT patient survival is undermined above all by PGD onset up to 72h in postoperative scenario Acute lung injury characterized by reperfusion and ischemia damage evolves in pulmonary edema and severely inflammed graft status Tipical radiological findings are bilateral spreading infiltrates whose treatment was until some years ago mainly supportive ie protective mechanical ventilation and fluid restriction Two retrospective studies recently demonstrated favorable oxygenation response in terms of PaO2fraction-of-inspired-oxygen FiO2 ratio and lung compliance Our purpose was to broaden gas-exchange results by the analysis of short-term outcomes ie duration of mechanical ventilation reintubation or tracheostomy anastomotical complications organ rejection in 30 days acute kindney injury development andor filtration necessity hospital length and mortality Our aim is to assess through this pilot study if early pronation realized within 24 hours from admission has a more favorable outcome on patients developing moderatesevere PGD within the first 24 postoperative hours
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None