M-I/E for Preventing VAP in Post-neurosurgical Patients
NCT06511986 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 210
Last updated 2025-03-19
Summary
Ventilator-associated pneumonia (VAP) is a common infection in critically ill patients, especially those with acute brain injuries, leading to increased mortality and longer ICU stays.
The mechanical insufflation/exsufflation (M-I/E) cough assist device improves outcomes in patients with neuromuscular disorders but its effects on brain-injured patients are largely unknown.
This study is conducted at a tertiary neurosurgical medical center and consists of two substudies. The prospective physiological study assessed the impact of M-I/E on hemodynamics and ICP in mechanically ventilated neurosurgical patients. The combined retrospective-prospective clinical study was performed to investigate the efficacy of M-I/E on occurence of VAP and other clinical outcomes.
Conditions
- Ventilator Associated Pneumonia
- Brain Injuries
- Mechanical Insufflation-exsufflation
Sponsors & Collaborators
-
Beijing Sanbo Brain Hospital
lead OTHER
Principal Investigators
-
Zhonghua Shi, PhD,MD · Capital Medical University
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-03-04
- Primary Completion
- 2025-01-22
- Completion
- 2025-03-15
Countries
- China
Study Locations
More Related Trials
-
RCT of Mesh Versus Jet Nebulizers on Clinical Outcomes During Mechanical Ventilation in the Intensive Care Unit
NCT02056119 ·Status: COMPLETED ·Phase: NA
-
Ceragenin Coated Endotracheal Tubes for the Prevention of Ventilator Associated Pneumonia
NCT05761613 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Effectness of Treatment With Mechanical Insufflation-Exsufflation
NCT04149873 ·Status: COMPLETED ·Phase: NA
-
Mechanical Ventilation in Severe Brain Injury: The Effect of Positive End Expiratory Pressure on Intracranial Pressure
NCT02680704 ·Status: TERMINATED ·Phase: NA
-
PReventing EXtubation FAILure Related to Cough
NCT03562000 ·Status: TERMINATED ·Phase: NA
-
In-line Mechanical Insufflation-Exsufflation in the Management of Ventilated Patients
NCT05365620 ·Status: COMPLETED ·Phase: NA
-
Effects of Mechanical Insufflation-Exsufflation in Preventing Respiratory Failure After Extubation
NCT01424202 ·Status: COMPLETED ·Phase: NA
-
A Comparative Study of High and Low Tidal Volume in Preventing Hypoxemia in Patients With Mechanical Ventilation After Cervical Spinal Cord Injury
NCT04949971 ·Status: UNKNOWN
-
Practice of Ventilation in Middle-Income Countries
NCT03188770 ·Status: COMPLETED
-
Bacterial Lysates on Respiratory Tract Microecology and Evaluation of the Efficacy of Prevention and Treatment of VAP
NCT05270018 ·Status: UNKNOWN ·Phase: NA
-
Early Speaking Valve in Ventilator Weaning: Effects on Communication, Depression, and Quality of Life
NCT07005596 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Volume Responsiveness Before SBT Predicts the Outcome of Mechanical Ventilation Weaning in Critically Ill Patients
NCT01867853 ·Status: COMPLETED
-
Instrumental Respiratory Physiotherapy in Difficult-to-wean ICU Patients
NCT06499389 ·Status: RECRUITING ·Phase: NA
-
Effect of Early Non-invasive Phrenic Nerve Stimulation on Weaning in Mechanically Ventilated Patients
NCT05629819 ·Status: RECRUITING ·Phase: NA
-
Mechanical Power-Guided Lung Protective Ventilation (VentCoach) in Acute Hypoxemic and/or Hypercapnic Respiratory Failure
NCT07294768 ·Status: COMPLETED ·Phase: NA
-
Patient Preference for Mouthpiece Ventilation
NCT03867721 ·Status: COMPLETED ·Phase: NA
-
Variation of Atelectasis Score After High-frequency Percussions in Severe Acquired Brain Injury
NCT05630079 ·Status: COMPLETED
-
Patient Dyspnea Under Veno-arterial Extracorporeal Circulation
NCT04815330 ·Status: COMPLETED
-
Pulmonary Microbiota Changes and Clinical Outcomes in Neurosurgical ICU Patients With Artificial Airways
NCT07129174 ·Status: RECRUITING
-
Comparative Study of Non-Invasive Mask Ventilation vs Cuirass Ventilation in Patients With Acute Respiratory Failure.
NCT00331656 ·Status: UNKNOWN ·Phase: PHASE4
-
The Effects of Early Mobilization and Endurance Training for Patients With Prolonged Mechanical Ventilator
NCT05154786 ·Status: COMPLETED ·Phase: NA
-
Dyspnea Facial Recognition During Weaning
NCT05163275 ·Status: COMPLETED
-
Manual Ventilation Efficacy With MVG Device
NCT05059366 ·Status: COMPLETED ·Phase: NA
-
Cough Assist Device in Mechanically Ventilated Patients
NCT05480371 ·Status: UNKNOWN ·Phase: NA
-
Weaning Outcome From Invasive Mechanical Ventilation
NCT02981589 ·Status: UNKNOWN