Ventilation Support for the PREvenTion of EXTubation Failure
NCT05550259 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1100
Last updated 2022-10-03
Summary
Reintubation after failed extubation would be associated with increased mortality. Therefore, extubation failure remains a major concern in ICU. Few randomized controlled studies have assessed the benefit for a systematic respiratory support (noninvasive ventilation or high flow nasal cannula) applied at the time of extubation to reduce reintubation rates in patients at high and low risk for reintubation. In addition, these studies reported discordant results. Therefore, there are some concerns regarding effectiveness and systematic uptake of a respiratory support after extubation into usual practice.
Conditions
- Extubation Failure
Interventions
- PROCEDURE
-
protocolized postextubation support
The intervention corresponds to a protocolized use of HFNO or NIV after extubation in accordance with the risk of extubation failure: a) 24H HFNO in patient at low risk of extubation failure b) 48H NIV+/-HFNO in patients at high risk of extubation failure
Sponsors & Collaborators
-
University Hospital, Caen
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-10-31
- Primary Completion
- 2024-01-31
- Completion
- 2024-02-29
More Related Trials
-
High-flow Nasal Cannula Oxygen Therapy With or Without NIV During the Weaning Period
NCT03121482 ·Status: COMPLETED ·Phase: NA
-
Predictors of Airway Extubation/Weaning Failure
NCT02450669 ·Status: COMPLETED
-
Preventing Failed Extubations
NCT06301867 ·Status: COMPLETED
-
Prediction of Extubation Failure: A Multicenter Prospective Observational Study
NCT05069441 ·Status: RECRUITING
-
Non-invasive Ventilation Following Extubation (Prophylactic) to Prevent Extubation Failure in Critically Obese Patients
NCT04014920 ·Status: COMPLETED ·Phase: NA
-
ICU Predictive Score of WEaning Success in Patients At Risk of Extubation Failure
NCT05114551 ·Status: UNKNOWN
-
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
-
Non-invasive Ventilation vs Oxygen Therapy After Extubation Failure
NCT03832387 ·Status: COMPLETED ·Phase: NA
-
Mechanical Ventilation Reconnection for One Hour After Spontaneous Breathing Trial
NCT05999526 ·Status: COMPLETED ·Phase: NA
-
Oxygen Consumption (VO2), Effort, and Weaning in the Mechanically Ventilated Patient in the Intensive Care Unit (ICU)
NCT06391424 ·Status: RECRUITING
-
Direct Extubation Versus Extubation After a Spontaneous Breathing Trial in Patients at Low Risk of Extubation Failure
NCT07019636 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Liberation From Mechanical Ventilation Using Extubation Advisor Decision Support
NCT05506904 ·Status: RECRUITING ·Phase: NA
-
Transcutaneous Carbon Dioxide Pressure (tcPCO2) Monitoring for the Prediction of Extubation Failure in the ICU
NCT02894177 ·Status: COMPLETED ·Phase: NA
-
Recruitment Maneuver After Intubation
NCT01014299 ·Status: COMPLETED ·Phase: PHASE4
-
Post -Extubation Respiratory Failure
NCT04441736 ·Status: COMPLETED ·Phase: NA
-
Automated Ventilator Controlled Weaning vs Daily Spontaneous Breathing Trial in Difficult to Wean ICU Patients
NCT00813839 ·Status: WITHDRAWN ·Phase: PHASE4
-
Efficacy of HFNC Versus NIV for Prevent Reintubation in Sepsis Patients
NCT03246893 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Risk Factors Regarding Extubation Failure in Severe Brain Injured Patients.
NCT02426242 ·Status: COMPLETED
-
Facilitating EndotracheaL Intubation by Laryngoscopy Technique and Apneic Oxygenation Within the Intensive Care Unit: The FELLOW Study
NCT02051816 ·Status: COMPLETED ·Phase: NA
-
High-flow Conditioned Oxygen Therapy Versus Non-invasive Ventilation: Prevention of Post-extubation Failure
NCT01191489 ·Status: COMPLETED ·Phase: PHASE3
-
Factors Associated With Extubation Failure in Kanigara ICU (Intensive Care Unit) RSUPN Dr. Cipto Mangunkusumo
NCT07038291 ·Status: COMPLETED
-
Performance of the Variation in Arterial Lactatemia During a Spontaneous Breathing Trial (SBT) in the Prediction of Extubation Failure
NCT05487573 ·Status: UNKNOWN
-
Prevention of Reintubation by Using Noninvasive Positive Pressure Ventilation
NCT00977002 ·Status: UNKNOWN ·Phase: PHASE3
-
Extubation Failure in Critically Ill Cirrhotic Patients.
NCT05244005 ·Status: UNKNOWN
-
Effect of High-flow Nasal Oxygen on Extubation Outcome
NCT02290548 ·Status: UNKNOWN ·Phase: NA