Jet or Vibrating Mesh Nebulisation for Secretion Management in ICU
NCT05635903 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2023-02-02
Summary
Critically unwell patients in Intensive Care have a decreased ability to effectively clear secretions. High secretion load is a major risk factor in the failure of tracheal extubation failure and the requirement for reintubation. Extubation failure is a predictor of poor outcome independent of the severity of the underlying illness. Nebulisation of isotonic saline can be employed to manage secretions by reducing the secretion viscosity and facilitating clearance of respiratory sections during tracheal suction.
Standard jet nebulisers have been the mainstay of respiratory section management therapy in critical care since the early 1990s. A more recent development has been the vibrating mesh nebuliser. There is evidence of improved humidification and reduced water particle size and theoretically better transfer to the distal airways.
Conditions
- Respiratory Failure
- Critical Illness
Interventions
- PROCEDURE
-
Continuous nebulisation 0.9% saline Aerogen Solo vibrating mesh Nebuliser
Continuous nebulisation of 0.9% saline using the Aerogen Solo vibrating mesh nebuliser
- PROCEDURE
-
Intermittent nebulisation 0.9% saline Aerogen vibrating mesh Solo Nebuliser
Intermittent nebulisation of 0.9% saline using the Aerogen Solo vibrating mesh nebuliser
- PROCEDURE
-
Intermittent standard intermittent nebulisation of 0.9% saline Intersurgical Cirrus 2 self sealing Jet Nebuliser
standard intermittent nebulisation of 0.9% saline using the Intersurgical Cirrus 2 self-sealing Jet Nebuliser
Sponsors & Collaborators
-
Aerogen
collaborator INDUSTRY -
NHS Greater Glasgow and Clyde
lead OTHER
Principal Investigators
-
Malcolm Sim, MBcHB · nhs GGC health board
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-12-22
- Primary Completion
- 2023-12-22
- Completion
- 2023-12-22
Countries
- United Kingdom
Study Locations
More Related Trials
-
PReventing EXtubation FAILure Related to Cough
NCT03562000 ·Status: TERMINATED ·Phase: NA
-
Mechanical Insufflation-exsufflation and Hypertonic Saline in Nosocomial Bacterial Respiratory Tract Infection
NCT06310941 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effect of High-Flow Tracheal Oxygen on EELI
NCT06824220 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Evaluation of the CleanSweep™ Closed Suction System on Length of Mechanical Ventilation and Ventilator-Associated Events
NCT03868735 ·Status: COMPLETED ·Phase: NA
-
High Flow Nasal Cannula Versus High Velocity Nasal Insufflation for Weaning
NCT07133698 ·Status: RECRUITING ·Phase: NA
-
Ventilator Inspiratory Trigger Sensitivity Adjustment Versus Threshold Device Training on Pulmonary Functions in Acute Stroke Patients
NCT07003867 ·Status: COMPLETED ·Phase: NA
-
Effects of Different Ventilatory Strategy During Bronchoscopy
NCT05956301 ·Status: UNKNOWN ·Phase: NA
-
The Effectiveness of High-flow Nasal Cannula After Extubation in Patients
NCT06746363 ·Status: COMPLETED
-
Impact of the Depth of Neuromuscular Blockade on Respiratory Mechanics in Moderate to Severe ARDS Patients
NCT05697666 ·Status: COMPLETED
-
HFTO Via Tracheal Intubation in Neurocritical Patients
NCT07257016 ·Status: COMPLETED ·Phase: NA
-
Physiological Effect High-flow Tracheal Oxygen on Viscosity of Airway Mucus and Respiratory Effort in Patients Weaning from Invasive Mechanical Ventilation
NCT06776939 ·Status: RECRUITING ·Phase: NA
-
Efficacy of High Flow Nasal Cannula Oxygen to Reduce Desaturation During Tracheal Intubation
NCT01699880 ·Status: COMPLETED
-
Impact and Sequelae of High Ventilatory Drive in Critically Ill COVID-19 Patients
NCT05363332 ·Status: UNKNOWN
-
Closed Loop Mechanical Ventilation and ECMO
NCT04925518 ·Status: COMPLETED ·Phase: NA
-
The Physiologic Effect of the Flow Generated by High Flow Nasal Cannula in Mild Respiratory Failure
NCT05708287 ·Status: COMPLETED ·Phase: NA
-
Efficacy Study of a Novel Device to Clean the Endotracheal Tube
NCT01765530 ·Status: COMPLETED ·Phase: NA
-
Role of High Flow Nasal Oxygen as a Strategy for Weaning From Invasive Mechan
NCT04657796 ·Status: UNKNOWN
-
Aerosol Therapy in Intensive Care Units
NCT03597334 ·Status: COMPLETED
-
Single-used Versus MultiPlE-used Endotracheal suCtIon cAtheters in Mechanically ventiLated ICU Patients
NCT06207513 ·Status: COMPLETED ·Phase: NA
-
Non-Invasive Ventilation in Amyotrophic Lateral Sclerosis
NCT00560287 ·Status: UNKNOWN ·Phase: PHASE4
-
Evaluating the Short-term Efficacy of Two Oscillation Techniques in Hypersecretive Mechanically Ventilated Patients
NCT06675942 ·Status: RECRUITING ·Phase: NA
-
Nasal Airflow to Modulate Dyspnea in Tracheostomized Patients
NCT07308171 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Post-extubation High-flow Nasal Oxygen for Preventing Extubation Failure
NCT03361683 ·Status: COMPLETED ·Phase: NA
-
Airway Clearance Using Non-Invasive Oscillating Device
NCT03821389 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
In-line Mechanical Insufflation-Exsufflation in the Management of Ventilated Patients
NCT05365620 ·Status: COMPLETED ·Phase: NA