Early Tracheostomy in Ventilated Stroke Patients
NCT01261091 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2014-04-24
Summary
Patients with severe ischemic and hemorrhagic strokes, who require mechanical ventilation, have a particularly bad prognosis. If they require long-term ventilation, their orotracheal tube needs to be, like in any other intensive care patient, replaced by a shorter tracheal tube below the larynx. This so called tracheostomy might be associated with advantages such as less demand of narcotics and pain killers, less lesions in mouth and larynx, better mouth hygiene, safer airway, more patient comfort and earlier mobilisation. The best timepoint for tracheostomy in stroke, however, is not known. This study investigates the potential benefits of early tracheostomy in ventilated critically ill patients with ischemic or hemorrhagic stroke.
Conditions
- Ischemic Stroke
- Intracerebral Hemorrhage
- Subarachnoid Hemorrhage
Interventions
- PROCEDURE
-
Early Tracheostomy
Tracheostomy is performed as percutaneous dilatative tracheostomy by neurointensivists whenever possible. If anatomically or otherwise indicated, surgical tracheostomy is applied.
- PROCEDURE
-
Late Tracheostomy
Tracheostomy is performed as percutaneous dilatative tracheostomy by neurointensivists whenever possible. If anatomically or otherwise indicated, surgical tracheostomy is applied.
Sponsors & Collaborators
-
Heidelberg University
lead OTHER
Principal Investigators
-
Bösel Julian, Dr, MD · Department of Neurology, University of Heidelberg
-
Thorsten Steiner, Prof, MD · Department of Neurology, University of Heidelberg
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-09-30
- Primary Completion
- 2011-11-30
- Completion
- 2012-04-30
Countries
- Germany
Study Locations
More Related Trials
-
Effect of Different Feeding Modes in Intracerebral Hemorrhage
NCT06255353 ·Status: COMPLETED ·Phase: NA
-
Mode of Sedation During Endovascular Treatment of Vertebrobasilar Stroke
NCT05525325 ·Status: RECRUITING ·Phase: NA
-
Safety and Efficacy of Remote Ischemic Conditioning in Patients with Severe Stenosis or Occlusion of Anterior Intracranial Circulation Vessels
NCT06823128 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Dynamic Cerebral Autoregulation of Remote Ischemic Conditioning Combined With Intravenous Thrombolysis for Acute Ischemic Stroke
NCT05125861 ·Status: COMPLETED ·Phase: NA
-
Safety and Effectiveness of Remote Ischemic Conditioning Combined With Intravenous Thrombolysis in Treating Acute Ischemic Stroke
NCT04027621 ·Status: COMPLETED ·Phase: NA
-
Ventilation Modalities and Acute Ischemic Stroke
NCT05323266 ·Status: COMPLETED ·Phase: NA
-
Early vs Delayed Extubation After Endovascular Treatment for Acute Ischemic Stroke
NCT05847309 ·Status: COMPLETED ·Phase: NA
-
Effect of Intermittent Oral Enteral Nutrition Tube in Tracheostomized Patients With Intracerebral Hemorrhage
NCT06304051 ·Status: COMPLETED ·Phase: NA
-
High Flow Oxygen Therapy and Acute Ischemic Stroke
NCT03402594 ·Status: COMPLETED ·Phase: NA
-
Comparison of Pre-hospital and In-hospital Iv-tPA Stroke Treatment
NCT02358772 ·Status: COMPLETED
-
The Impact of Different Feeding Modes on Patients With Intracerebral Hemorrhage
NCT06328946 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Cerebral Hemodynamics During Early Verticalization After (Successful) Thrombectomy Poststroke
NCT04573114 ·Status: UNKNOWN
-
Mechanical Thrombectomy of Acute Ischemic Stroke Anterior Circulation Distal Vessel Occlusion
NCT06427187 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Early Tracheostomy Versus Standard of Care in Patients With Severe Head Injury
NCT02442154 ·Status: COMPLETED ·Phase: NA
-
Mechanical Thrombectomy Of Acute Occlusion In Ischemic Stroke
NCT03144960 ·Status: UNKNOWN ·Phase: NA
-
Hypothermia With Intrajugular Cooling in Acute Ischemic Stroke Thrombectomy
NCT05488392 ·Status: UNKNOWN ·Phase: NA
-
Clinical Outcome Following Early Decannulation of Severe Acquired Brain Injury Patients
NCT06167538 ·Status: ACTIVE_NOT_RECRUITING
-
Head Down Tilt 15° to Increase Collateral Flow in Acute Ischemic Stroke
NCT06297863 ·Status: RECRUITING ·Phase: PHASE2
-
A Trial of Intravascular Hypothermia Therapy in Acute Ischemic Stroke Patients
NCT04695236 ·Status: UNKNOWN ·Phase: NA
-
Head COOLing in IscHemic Stroke Patients Undergoing EndovAscular Thrombectomy: a Feasibility and Safety StuDy
NCT06335641 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Safety and Efficacy of Therapeutic Hypothermia in Acute Ischemic Stroke
NCT05779176 ·Status: UNKNOWN ·Phase: NA
-
Assessing Local Hypothermia and Endovascular Recanalization for Acute Stroke With a Large Core Infarction
NCT07232082 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Hemodynamic in Postreperfusion Period and Functional Recovery in Acute Ischemic Stroke Patients
NCT05517109 ·Status: COMPLETED ·Phase: NA
-
Strokecopilot: A Precision Medicine Tool in the Stroke Emergency
NCT05534295 ·Status: RECRUITING
-
Evaluation of Minimally Invasive Subcortical Parafascicular Access for Clot Evacuation
NCT02331719 ·Status: COMPLETED