Comparison Between Immediate and Gradual Decannulation
NCT02469909 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2017-03-03
Summary
The investigators propose to examine the feasibility and safety of immediate (single stage) decannulation in adult patients in a controlled randomized trial. Patients who will be found fit for decannulation after an otolaryngologist and intensive care specialist assessment will be randomized into two groups: immediate decannulation and gradual decrease in cannula size. Both groups of patients will be monitored after decannulation and in the outpatient clinic for any complications following the procedure.
Conditions
- Tracheostomy
Interventions
- OTHER
-
Overnight observation
patients in the immediate decannulation group would be admitted for an overnight in intensive care unit or the otolaryngology department. they would be monitored for any respiratory or airway complications.
- OTHER
-
Pre-discharge evaluation
After an overnight observation, patients in the immediate decannulation group would would undergo clinical and laboratory evaluation including vital signs and blood gases.
- OTHER
-
outpatient clinic follow ups
all patients would visit the otolaryngology outpatient clinic in 7, 30 and 90 days following decannulation for an evaluation of any respiratory complications following decannulation
- PROCEDURE
-
immediate decannulation
the tracheostomy tube is removed at once
- PROCEDURE
-
Gradual tracheostomy tube decrease
The tracheostomy tube will be reduced in 2 sizes compared with the initial inner diameter of the tube. The patients will remain with the reduced tube for 48 hours, and the tube will be removed if the patients would meet pre-decannulation evaluation
Sponsors & Collaborators
-
Soroka University Medical Center
collaborator OTHER -
Kaplan Medical Center
lead OTHER
Principal Investigators
-
Nili Segal, Dr · Soroka hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-06-30
- Primary Completion
- 2018-06-30
- Completion
- 2019-01-31
Countries
- Israel
Study Locations
More Related Trials
-
Does Deflating the Tracheal Cuff Shorten Weaning Time?
NCT00956540 ·Status: COMPLETED ·Phase: PHASE4
-
Changes of Weaning Parameter in Weaning Failure Patient After Tracheostomy as a Predictor of Subsequent Weaning
NCT01312142 ·Status: UNKNOWN
-
Impact of the Nature and Interface of the Tracheostomy Cannula on Dyspnea in Patients Weaning From Artificial Ventilation in Weaning Unit
NCT06185998 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Efficacy of Early Tracheostomy to Reduce Incidence of Ventilator Acquired Pneumonia (VAP)
NCT00262431 ·Status: COMPLETED ·Phase: PHASE3
-
Physiological Effects of Non-invasive Mechanical Ventilation Versus High-flow Nasal Cannula in Critically Ill Patients At High Risk of Extubation Failure
NCT05012696 ·Status: COMPLETED ·Phase: NA
-
Early Tracheotomy for Switching Between Invasive and Noninvasive Ventilation to Facilitate Weaning
NCT02921334 ·Status: TERMINATED ·Phase: NA
-
High Flow Nasal Cannula vs Noninvasive Ventilation in Patients With Hypoxic Respiratory Failure Following Blunt Chest Trauma
NCT05527431 ·Status: COMPLETED ·Phase: NA
-
Effect of Three Modalities of Spontaneous Breathing Tests on Respiratory Efforts in Tracheostomized Patients
NCT03856424 ·Status: UNKNOWN ·Phase: NA
-
Weaning Protocol for High Flow Nasal Cannula Oxygen Therapy
NCT03845244 ·Status: COMPLETED ·Phase: NA
-
Concordance of Methods to Select Tracheostomy Tube Size for Adults in Intensive Care
NCT05047432 ·Status: UNKNOWN
-
High-flow Nasal Cannula Oxygen Therapy With or Without NIV During the Weaning Period
NCT03121482 ·Status: COMPLETED ·Phase: NA
-
Reformative Versus Single Step Dilation Percutaneous Dilatational Tracheostomy
NCT03141294 ·Status: COMPLETED ·Phase: NA
-
Efficacy of High Flow Nasal Cannula Oxygen to Reduce Desaturation During Tracheal Intubation
NCT01699880 ·Status: COMPLETED
-
Preoxygenation for Tracheal Aspirations in Intensive Care
NCT06421012 ·Status: RECRUITING ·Phase: NA
-
Standard Oxygen Versus High Flow Nasal Cannula Oxygen Therapy in Patients With Acute Hypoxemic Respiratory Failure
NCT04468126 ·Status: COMPLETED ·Phase: NA
-
Early Tracheotomy Versus Prolonged Endotracheal Intubation in Intensive Care Unit (ICU) Patients
NCT00127621 ·Status: TERMINATED ·Phase: PHASE3
-
Ventilation Support for the PREvenTion of EXTubation Failure
NCT05550259 ·Status: UNKNOWN ·Phase: NA
-
Transcutaneous Carbon Dioxide Pressure (tcPCO2) Monitoring for the Prediction of Extubation Failure in the ICU
NCT02894177 ·Status: COMPLETED ·Phase: NA
-
Sleep Quality in Intensive Care Unit Patients at High Risk of Extubation Failure
NCT02911506 ·Status: COMPLETED
-
Computer Driven Management of Weaning Following Prolonged Mechanical Ventilation
NCT00502489 ·Status: UNKNOWN ·Phase: NA
-
Ventilation Weaning Strategies and Correlation to Outcomes in Tracheostomized Patients in the Lausanne ICU
NCT04987398 ·Status: COMPLETED
-
Comparison of Two FiO2 (1 or 0.5) for Tracheal Extubation in Post-anesthesia Care Unit
NCT04879290 ·Status: COMPLETED ·Phase: NA
-
Comparison of Pre-oxygenation of NIV and HFNC Therapy for Intubation of ICU Patients With Acute Respiratory Failure
NCT02668458 ·Status: COMPLETED ·Phase: NA
-
Effects of High Flow Nasal Cannula on Deadspace Reduction and Regional Distribution of Ventilation
NCT02460653 ·Status: UNKNOWN ·Phase: NA
-
Nasal Airflow to Modulate Dyspnea in Tracheostomized Patients
NCT07308171 ·Status: NOT_YET_RECRUITING ·Phase: NA