Effectiveness of Routine Nebulization of Mucolytics and Bronchodilators During Mechanical Ventilation
NCT02159196 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 950
Last updated 2017-06-16
Summary
The purpose of this multi-center randomized controlled non-inferiority trial is to determine the effect of a strategy using routine nebulisation of mucolytics and bronchodilators (four times daily) as compared to a strategy using nebulisation of mucolytics or bronchodilators only on clinical indication (i.e. occurrence of persistent thick and tenacious sputum or bronchospasm) in mechanically ventilated intensive care patients. The investigators will examine the effects in terms of ventilator-free days, defined as the number of days alive and free of ventilation at day 28 after start of ventilation.
We hypothesize that a strategy that uses nebulisation of mucolytics or bronchodilators only on clinical indication not to be inferior to a strategy using preventive nebulisation of mucolytics or bronchodilators with regard to the number of ventilator free days in ICU patients at day 28.
Conditions
Interventions
- DRUG
-
acetylcysteine and salbutamol
routine nebulisation of a 3 mL-solution of acetylcysteine (fluimucil 100mg/ml) and a 2.5 mL solution containing salbutamol (ventolin 2.5 Nebules 2.5mg/2.5 ml) four times daily
- DRUG
-
acetylcysteine
nebulisation of acetylcysteine on strict clinical indications only', i.e. in case of occurrence of persistent thick and tenacious sputum
- DRUG
-
salbutamol
nebulisation of salbutamol on strict clinical indications only', i.e. in case of occurrence of bronchospasm
Sponsors & Collaborators
-
ZonMw: The Netherlands Organisation for Health Research and Development
collaborator OTHER -
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
lead OTHER
Principal Investigators
-
Marcus J Schultz, Prof Dr MD · Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-07-31
- Primary Completion
- 2017-03-31
- Completion
- 2017-06-30
Countries
- Netherlands
Study Locations
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