Evaluation of Right Ventricular Function to Predict Weaning Success in the Intensive Care Unit
NCT07073976 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 60
Last updated 2025-09-09
Summary
The goal of this prospective observational study is to evaluate whether right ventricular (RV) function parameters assessed via transthoracic echocardiography (TTE) can predict weaning success in adult intensive care unit (ICU) patients who are mechanically ventilated. The main questions it aims to answer are:
Can the TAPSE (Tricuspid Annular Plane Systolic Excursion) value predict successful extubation?
Do other right heart parameters (tricuspid S', RV-FAC, right atrial area, pulmonary valve acceleration time) provide additional prognostic value for weaning outcomes?
Participants will:
Be adult ICU patients planned for weaning from mechanical ventilation.
Undergo transthoracic echocardiography within 2 hours after meeting clinical weaning criteria.
Have the following echocardiographic parameters measured: TAPSE, tricuspid S', RV-FAC, right atrial area, and pulmonary valve acceleration time.
Be monitored for 24 hours after extubation to assess weaning success (defined as no need for reintubation, non-invasive ventilation, or high-flow oxygen support).
Conditions
- Weaning Failure of Mechanical Ventilation
Interventions
- DIAGNOSTIC_TEST
-
Transthoracic Echocardiography (TTE)
Non-invasive ultrasound imaging of the heart to evaluate right ventricular and right atrial function using parameters such as TAPSE, tricuspid S', RV-FAC, right atrial area, and pulmonary valve acceleration time. TTE will be performed once within 2 hours prior to extubation decision as part of routine care.
Sponsors & Collaborators
-
Kanuni Sultan Suleyman Training and Research Hospital
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-07-31
- Primary Completion
- 2026-07-15
- Completion
- 2026-07-16
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
Assement of Left Ventricular Function Before Decannulation in Cardiac Surgery :Visual Estimation vs TEE
NCT07286227 ·Status: NOT_YET_RECRUITING
-
Left Ventricular Diastolic Dysfunction as a Predictor of Weaning Failure From Mechanical Ventilation
NCT04703387 ·Status: COMPLETED
-
Transthoracic Echocardiography of the Superior Vena Cava in Intensive Care Units (ICU) Intubated Patients
NCT03508401 ·Status: UNKNOWN ·Phase: NA
-
Intensive Care Unit-acquired Heart Failure in Critically Ill: the ICU-HF Study
NCT07094425 ·Status: RECRUITING
-
Association Between Portal Flow Pulsatility and Right Ventricular Dysfunction in the Postoperative Period of Cardiac Surgery
NCT06777355 ·Status: COMPLETED
-
A Comparison of Right Ventricular Function in the Apical and Subcostal 4 Chamber TTE Views in the Perioperative Setting
NCT05452044 ·Status: UNKNOWN
-
Non-invasive Blood Pressure and Cardiac Output Measurement by Using Applanation Tonometry
NCT02444104 ·Status: UNKNOWN
-
Measure Cardiac Output Using Ultrasound Dilution in Mechanically Ventilated Children
NCT01662141 ·Status: COMPLETED
-
Predicting Fluid Responsiveness in Mechanically Ventilated Critically Ill Children Using Transthoracic Echocardiography
NCT05054452 ·Status: COMPLETED ·Phase: NA
-
The Diagnosis and Treatment System of Transesophageal Echocardiography in ICU
NCT03811730 ·Status: UNKNOWN ·Phase: NA
-
Left Atrial Volume Index and Left Atrial Appendage Flow Velocities
NCT02500745 ·Status: UNKNOWN
-
C-MAC Videolaryngoscope for Insertion of a Transesophageal Echocardiography Probe in ICU Patients
NCT04980976 ·Status: COMPLETED ·Phase: NA
-
Hemodynamic, Vascular and Muscular Parameters of Exercise Capacity in Single-Ventricle Patients With Fontan Procedure
NCT05011565 ·Status: COMPLETED
-
Detection of the Incidence of Pre-existing Cardio-pulmonary Diseases by Using of Echocardiography
NCT04112420 ·Status: UNKNOWN ·Phase: NA
-
Echocardiography Predictive of the Inefficacy and/or of the Unsafeness of Recruitment Maneuvers in Patients With Acute Respiratory Distress Syndrome.
NCT01768949 ·Status: COMPLETED ·Phase: NA
-
Impact of Simulator-based Training in Transoesophageal Echocardiography
NCT02537639 ·Status: COMPLETED
-
Strain Analysis as a Right Ventricle Contractility Marker
NCT03090204 ·Status: COMPLETED ·Phase: NA
-
Upper Extremity Function in Patients With Reduced Ejection Fraction Heart Failure and Cardiac Implantable Electronic Devices
NCT07253909 ·Status: ENROLLING_BY_INVITATION
-
Hemodynamic Evaluation of Left Atrial Pressure in Relationship to Pulmonary Capillary Wedge Pressure in Cardio Thoracic Patients
NCT07163052 ·Status: NOT_YET_RECRUITING
-
Right Ventricular Pressure Waveform Monitoring in Cardiac Surgery
NCT04092855 ·Status: RECRUITING
-
Serial Multiparametric Evaluation of Right Ventricular Function After Left Ventricular Assist Device Implantation
NCT03552679 ·Status: UNKNOWN
-
Assessment of the Force Frequency Relationship of the Myocardium After On-pump CABG Surgery
NCT02407574 ·Status: UNKNOWN ·Phase: NA
-
Cardiac Output Monitoring by Transpulmonary Thermodilution and Transthoracic Echocardiography in Critically Ill Patients
NCT04637126 ·Status: COMPLETED
-
Ambulant Monitoring to Detect Hemodynamic and Electrical Impact of Severe Tricuspid Valve Regurgitation
NCT07043465 ·Status: COMPLETED ·Phase: NA
-
Left Ventricular Dysfunction in Critically Ill Patients
NCT03787810 ·Status: COMPLETED