Can Real-Time lung imaging Fine-Tune ventilator care for ARDS?
NCT ID NCT07793565
First seen Aug 28, 2026 · Last updated Aug 28, 2026
Summary
This trial tests whether using electrical impedance tomography (EIT) to guide ventilator pressure settings improves lung function in patients with moderate-to-severe acute respiratory distress syndrome (ARDS) who are placed face down (prone positioning). Researchers will compare EIT-guided pressure adjustment against the standard ARDSNet table in 40 patients. The main goal is to see if EIT improves ventilation-perfusion matching, which reflects how efficiently the lungs exchange oxygen. The study also tracks breathing mechanics, heart function, and outcomes like survival and time on a ventilator.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- EIT-guided PEEP titration, a technique to adjust ventilator pressure using electrical impedance tomography imaging
- What this could lead to
- If it works, this approach could improve oxygen exchange and lung mechanics in ARDS patients, potentially reducing time on a ventilator and improving survival.
- What could go wrong
- This is a small, early physiological study with 40 patients, so results may not apply broadly. The technique may not improve outcomes, and adjusting ventilator settings carries risks like lung injury or heart strain.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- 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.
- Ages
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18 to 80 years
- 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: 1. Diagnosis of moderate-to-severe ARDS according to the Berlin definition, with a PaO₂/FiO₂ ratio \< 150 mmHg on optimal mechanical ventilation. 2. Clinical decision has been made to place a central venous catheter (internal jugular or subclavian vein) for clinical management. Exclusion Criteria: 1. Pregnancy or postpartum state. 2. BMI \> 35 kg/m². 3. Duration of invasive mechanical ventilation \> 48 hours at enrollment. 4. Severe hemodynamic instability (mean arterial pressure \< 65 mmHg on norepinephrine ≥ 0.5 μg/kg/min). 5. Immediate need for veno-venous extracorporeal membrane oxygenation (VV-ECMO) at enrollment. 6. Contraindications to prone positioning or EIT monitoring, including but not limited to: facial or cervical trauma; unstable spinal, femoral, pelvic, or rib fractures; recent cardiac surgery; pneumothorax; elevated intracranial pressure; pacemaker or implantable cardioverter-defibrillator; severe chronic lung disease (e.g., severe COPD, asthma, interstitial lung disease); severe cardiac dysfunction (New York Heart Association Class III or IV, acute coronary syndrome, sustained ventricular tachyarrhythmia, or cardiogenic shock). 7. Lack of informed consent from legally authorized representative.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, 430030, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New study aims to Fine-Tune ventilator strategies for ARDS patients
- Can the right dose and timing of steroids save more lives in ARDS?
- New inflatable cushion could revolutionize ICU patient repositioning
- Tailored breathing support may reduce lung injury in ECMO patients