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Mechanical Ventilation Discontinuation Practices

NCT03955874 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 1868

Last updated 2021-04-02

No results posted yet for this study

Summary

Background: The requirement for ventilator support is a defining feature of critical illness. Weaning is the process during which the work of breathing is transferred from the ventilator back to the patient. Approximately 40% of the total time spent on ventilators is dedicated to weaning. The extent of practice variation in how this complex and expensive technology is discontinued from critically ill patients is unknown. Meanwhile, practice variation has been shown to adversely impact upon patient safety and clinical outcomes.

Purpose: To characterize practice pattern variation in weaning and the consequences of weaning variation by implementing an international, prospective observational study in Canada, the United States, the United Kingdom, Europe, India and Australia/New Zealand.

Primary Objectives: To describe

1. weaning practice variation among regions in 5 domains (the use of daily screening, preferred methods of support used before initial discontinuation attempts, use of written protocols, preferred methods of evaluating spontaneous breathing, and sedation and mobilization practices).
2. the assocation between selected discontinuation strategies and important clinical outcomes (length of stay, mortality, duration of ventilation).

Methods: The investigators propose to conduct a large scale, observational study involving critically ill adults requiring ventilator support for at least 24 hours to evaluate practices in discontinuing ventilators in 150 centres. The investigators will classify each new admission over the observation period according to the initial strategy that precipitated or facilitated ventilator discontinuation.

Relevance: This novel study will build collaborations with critical care investigators from around the world and industry

Conditions

  • Invasive Mechanical Ventilation
  • Critical Illness
  • Spontaneous Breathing Trial
  • Weaning Invasive Mechanical Ventilation
  • Tracheostomy
  • Direct Extubation

Sponsors & Collaborators

  • Unity Health Toronto

    lead OTHER

Principal Investigators

  • Karen E.A. Burns, MD, FRCPC, MSc · St. Michael's Hospital, Li Ka Shing Knowledge Institute, University of Toronto

Eligibility

Min Age
16 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2013-11-04
Primary Completion
2016-12-17
Completion
2016-12-17

Countries

  • United States
  • Canada

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03955874 on ClinicalTrials.gov