Mechanical Ventilation in Brain-injured Patients
NCT01885507 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 560
Last updated 2015-02-23
Summary
Protective ventilation (association of a tidal volume \< 8 ml/kg with a positive end expiratory pressure) is poorly used in severe brain-injured patients. Moreover, a systematic approach to extubation may decrease the rate of extubation failure and enhance outcomes of brain-injured patients.
We hypothesized that medical education and implementation of an evidence-base care bundle associating protective ventilation and systemic approach to extubation can reduce the duration of mechanical ventilation in brain-injured patients.
Conditions
- Brain-injury
- Stroke
- Subarachnoid Haemorrhage
- Traumatic Brain Injury
- Structural Coma
Interventions
- OTHER
-
Pass recommendations on ventilation factors and extubation
* the use of tidal volume \< 7 ml/kg and of a positive expiratory pressure = 6 to 8 cmH20 (centimeter of water) * extubation as soon as ventilatory weaning is associated with a glasgow coma scale equal or above 10 and cough
Sponsors & Collaborators
-
Nantes University Hospital
lead OTHER
Principal Investigators
-
Karim Asehnoune, MD, PhD · Nantes University Hospital
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-07-31
- Primary Completion
- 2014-09-30
- Completion
- 2014-09-30
Countries
- France
Study Locations
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