Weaning From Mechanical Ventilation in Neurological Patients
NCT03128086 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 94
Last updated 2020-05-21
Summary
After a period of mechanical ventilation, a spontaneous breathing trial is performed before extubation in order to assess the patient's ability to breathe. In neurological patients a spontaneous breathing trial can not predict the success of extubation. The extubation failure is associated with a longer intensive care unit stay and hospital stay, as well as more infections and higher mortality.
The purpose of this study is to demonstrate that the use of a protocol-directed weaning in neurological patients reduces the rate of extubation failure and associated complications.
Conditions
- Neurological Diseases or Conditions
Interventions
- PROCEDURE
-
Protocol-directed weaning
A protocol-directed weaning in neurological patients undergoing mechanical ventilation will reduce the rate of extubation failure and associated complications comparing with a conventional weaning (control group)
Sponsors & Collaborators
-
Hospital General Universitario de Castellón
lead OTHER
Principal Investigators
-
ALBERTO BELENGUER MUNCHARAZ, MD · Hospital General Universitario de Castellón
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-09-30
- Primary Completion
- 2019-03-08
- Completion
- 2019-03-08
Countries
- Spain
Study Locations
More Related Trials
-
Evaluation of a Systematic Approach to Weaning From Mechanical Ventilation
NCT01482429 ·Status: COMPLETED ·Phase: NA
-
Protocolized Ventilator Weaning Verses Usual Care
NCT03724643 ·Status: COMPLETED ·Phase: NA
-
Comparative Study of Duration of Respiratory Weaning Between Adaptive Support Ventilation and Succession of Controlled Ventilation Then Spontaneous Ventilation for Patients After Surgery
NCT00313326 ·Status: TERMINATED ·Phase: PHASE3
-
Automated Ventilator Controlled Weaning vs Daily Spontaneous Breathing Trial in Difficult to Wean ICU Patients
NCT00813839 ·Status: WITHDRAWN ·Phase: PHASE4
-
Evaluation of a New Mechanical Ventilation Weaning Strategy for Patients With Altered Level of Consciousness
NCT00700869 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Exploration of Mechanisms for Weaning Failure
NCT06424314 ·Status: RECRUITING
-
Ventilation Strategies During Spontaneous Breathing Trial
NCT02939963 ·Status: COMPLETED ·Phase: NA
-
Unloading Respiratory Muscles During NIV: Comparison of a Spontaneous and Auto-adjusting Controlled Mode
NCT00366912 ·Status: TERMINATED ·Phase: NA
-
Lung Volume Preservation During Extubation
NCT05526053 ·Status: COMPLETED ·Phase: NA
-
Family Preparation Study For Withdrawal of Mechanical Ventilation From Their Family Member
NCT00214344 ·Status: COMPLETED ·Phase: PHASE2
-
Extubation With or Without Spontaneous Breathing Trial
NCT01020773 ·Status: COMPLETED ·Phase: NA
-
High Flow Oxygen During Spontaneous Breathing Trial in Patients With High Weaning Risk Failure: Impact on the Weaning Course at D7 From the First Spontaneous Breathing Trial.
NCT03689309 ·Status: COMPLETED ·Phase: NA
-
A Cluster Randomized Trial to Improve Weaning and Extubation From Mechanical Ventilation in Community Hospitals
NCT00157287 ·Status: COMPLETED ·Phase: PHASE3
-
Weaning Outcome From Invasive Mechanical Ventilation
NCT02981589 ·Status: UNKNOWN
-
The Efficacy of Nurse-driven, Protocol Guided Ventilator Weaning in a Medical-Surgical Intensive Care Unit (ICU)
NCT00786617 ·Status: COMPLETED
-
Speeding the Weaning up: Aggressive Screening Criteria and Higher Minimal Ventilatory Settings.
NCT04758546 ·Status: COMPLETED ·Phase: NA
-
Two Opposite Strategies of Weaning From Mechanical Ventilation
NCT02620358 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Risk Factors Regarding Extubation Failure in Severe Brain Injured Patients.
NCT02426242 ·Status: COMPLETED
-
A Protocol to Wean From Noninvasive Mechanical Ventilation
NCT01535755 ·Status: TERMINATED ·Phase: NA
-
Computer Driven Management of Weaning Following Prolonged Mechanical Ventilation
NCT00502489 ·Status: UNKNOWN ·Phase: NA
-
Early Tracheotomy for Switching Between Invasive and Noninvasive Ventilation to Facilitate Weaning
NCT02921334 ·Status: TERMINATED ·Phase: NA
-
Sedation and Ventilator Weaning Protocol in PICU
NCT04788589 ·Status: UNKNOWN ·Phase: NA
-
Mechanical Ventilation Discontinuation Practices
NCT03955874 ·Status: COMPLETED
-
Therapy Study of Automated Protocolized vs. Physician-Directed Non-Protocolized Weaning
NCT00606788 ·Status: SUSPENDED ·Phase: NA
-
One-Hour Positive Pressure Ventilation After a Pressure Support Spontaneous Breathing Trial
NCT07324460 ·Status: NOT_YET_RECRUITING ·Phase: NA