Arm position during ICU Face-Down care may harm nerves
NCT ID NCT05693038
First seen Jul 17, 2026 · Last updated Jul 17, 2026
Summary
This study looks at whether placing patients face-down (prone) to help them breathe can damage nerves in the shoulder area. Researchers will use electrical tests to check for nerve injury in adults with severe lung failure who are sedated and on a ventilator. The goal is to find out if a specific arm position called 'swimmer position' is safer.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If it works, this could point toward safer arm positioning guidelines for ICU patients needing prone ventilation.
- What could go wrong
- This is a small observational study, so it cannot prove cause and effect; results may not apply to all ICU settings.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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54 people
The number who actually took part.
- Started
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Apr 2022
- Finished
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Sep 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients admitted in the ICU with severe ARDS, also secondary to pulmonary involvement of COVID-19, receiving invasive mechanical ventilation and requiring prone positioning to treat hypoxemia, as decided by the medical team.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years old * Admission to ICU for severe ARDS * Administration of sedation and neuromuscular blocking agents * Presence of endotracheal intubation and mechanical ventilation * Use of prone positioning to treat hypoxemia Exclusion Criteria: * Extracorporeal membrane oxygenation * Prone positioning performed in other centers * Prone positioning contraindications * Neurodegenerative disorders * Previous known brachial plexus injury
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, 20122, Italy
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a Radiation-Free scan reveal how ARDS treatments reshape lung blood flow?
- Can a Lung-Opening maneuver change a key injury marker in ARDS?
- Could simply sitting up ease breathing in severe lung failure?