Spontaneous Breathing Trials Using Pressure Support or T-Piece in Overweight and Obese Patients
NCT07114289 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2025-11-17
Summary
This study aims to find out which method of spontaneous breathing trial (SBT) better helps overweight and obese ICU patients prepare for extubation, which is the removal of the breathing tube. The two methods being compared are pressure support ventilation (PSV) and the T-piece.
Participants are adults with a body mass index (BMI) of 25 or higher who have been on a breathing machine (invasive mechanical ventilation) for more than 24 hours. Before removing the breathing tube, participants will be randomly assigned to receive either a PSV or a T-piece trial for 1 hour. After that, doctors will decide if they are ready for extubation.
The main question this study wants to answer is: Which method leads to a higher rate of successful extubation-defined as not needing to be reintubated within 72 hours?
Conditions
- Mechanical Ventilation
- Extubation
- Obesity &Amp; Overweight
- Respiratory Failure
Interventions
- PROCEDURE
-
Spontaneous breathing trial using pressure support ventilation
Patients will receive low level pressure support ventilation for 1 hour before extubation
- PROCEDURE
-
Spontaneous breathing trial using T-Piece
Patients will receive a T-piece with oxygen for 1 hour before extubation
Sponsors & Collaborators
-
Taipei Medical University Hospital
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-09-29
- Primary Completion
- 2027-03-31
- Completion
- 2027-07-31
Countries
- Taiwan
Study Locations
More Related Trials
-
T-piece Versus Pressure-support for the Spontaneous Breathing Trial
NCT04227639 ·Status: COMPLETED ·Phase: NA
-
One-Hour Positive Pressure Ventilation After a T-Piece Spontaneous Breathing Trial
NCT07324382 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
A SBT-based Protocol-directed Program in Difficult-to-Wean Patients
NCT05035355 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of Oxygen Consumption and Energy Expenditure During Spontaneous Breathing Trial.
NCT01757093 ·Status: COMPLETED ·Phase: NA
-
Ventilation Strategies During Spontaneous Breathing Trial
NCT02939963 ·Status: COMPLETED ·Phase: NA
-
Spontaneous Breathing Trials Using Pressure-Support or T-Tube in Chronic Obstructive Pulmonary Disease Patients Weaning Mechanical Ventilation
NCT01464567 ·Status: COMPLETED ·Phase: PHASE4
-
Postextubation Use of Noninvasive Respiratory Support in Severely Obese Patients
NCT05918575 ·Status: RECRUITING ·Phase: NA
-
One-Hour Positive Pressure Ventilation After a Pressure Support Spontaneous Breathing Trial
NCT07324460 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison of Physiological Effects of Two High-Flow Tracheal Oxygen Versus T-Piece During Spontaneous Breathing Trials
NCT06816706 ·Status: RECRUITING ·Phase: NA
-
Automatic Control of Pressure Support Ventilation in Surgical Intensive Care Units
NCT00445289 ·Status: COMPLETED ·Phase: NA
-
Comparison Between Two Methods of Spontaneous Breathing Trial (SBT)
NCT00400881 ·Status: COMPLETED ·Phase: NA
-
Optimal Timing for Spontaneous Breathing Trials
NCT06561295 ·Status: RECRUITING ·Phase: NA
-
Proportional Assisted Ventilation and Pressure Support Ventilation in Adult Patients With Prolonged Ventilation
NCT04140682 ·Status: COMPLETED ·Phase: NA
-
Early Use of Noninvasive Positive Pressure Ventilation for Intro-pulmonary Acute Lung Injury
NCT01581229 ·Status: COMPLETED ·Phase: NA
-
Extubation With or Without Spontaneous Breathing Trial
NCT01020773 ·Status: COMPLETED ·Phase: NA
-
Non-invasive Ventilation Following Extubation (Prophylactic) to Prevent Extubation Failure in Critically Obese Patients
NCT04014920 ·Status: COMPLETED ·Phase: NA
-
Non-invasive Respiratory Monitoring During SBT
NCT05295186 ·Status: COMPLETED
-
Inspiratory Effort-Targeted Pressure Support Ventilation (IT-PSV) Trial
NCT06526598 ·Status: RECRUITING ·Phase: NA
-
Cost Effectiveness of Outpatient Set-up of Automated NIV in Obese Patients With Chronic Respiratory Failure
NCT02342899 ·Status: COMPLETED ·Phase: PHASE3
-
Lung Volume Preservation During Extubation
NCT05526053 ·Status: COMPLETED ·Phase: NA
-
Comparison of Weaning on Pressure Support vs. Proportional Assist Ventilation: A Pilot Study
NCT01666054 ·Status: COMPLETED ·Phase: NA
-
Apneic Oxygenation With a Nasal Cannula in the Obese and Morbidly Obese Surgical Patient
NCT03671837 ·Status: COMPLETED ·Phase: NA
-
Determination of the Optimal Spontaneous Breathing Trial During Weaning of Mechanical Ventilation
NCT04222569 ·Status: TERMINATED ·Phase: NA
-
Efficiency of Preoxygenation in Obese Patients: Pressure Assisted Versus Traditional Method
NCT00673634 ·Status: COMPLETED ·Phase: NA
-
Effects of Obesity on Care and Outcomes in Mechanically Ventilated Individuals in the Intensive Care Unit
NCT00296088 ·Status: TERMINATED