Respiratory Failure Clinical Trial
Official title:
Single Center Randomized Clinical Trial Comparing Weaning From Mechanical Ventilation With Computer-driven System vs Usual Care in Children
Verified date | September 2012 |
Source | St. Justine's Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | Canada: Health Canada |
Study type | Interventional |
The purpose of this study is to determine whether a computer-driven system (Smartcare/PS) decreases weaning duration from mechanical ventilation when compared to usual care in children.
Status | Completed |
Enrollment | 30 |
Est. completion date | July 2009 |
Est. primary completion date | June 2009 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 2 Years to 18 Years |
Eligibility |
Inclusion Criteria: - The attending physician thinks that the patient will be able to breathe spontaneously or the patients is already breathing spontaneously. - No vasopressor or inotropic medication, unless the patient is receiving some digitalin or small doses of dopamine (< 5 µg/kg/min) - Slight or no endotracheal tube gas-leakage ([Vti - Vte]/Vti = 20%) - Mechanical ventilation with a plateau pressure = 25 cmH2O over PEEP - PEEP = 8 cmH2O - FiO2 = 60% in order to obtain pulse oxymetry = 95% - PaCO2 < 70 mmHg on the last blood gases - Extubation not expected the day of inclusion Exclusion Criteria: |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Canada | CHU Sainte Justine | Montreal | Quebec |
Lead Sponsor | Collaborator |
---|---|
St. Justine's Hospital | Fonds de la Recherche en Santé du Québec |
Canada,
Jouvet P, Farges C, Hatzakis G, Monir A, Lesage F, Dupic L, Brochard L, Hubert P. Weaning children from mechanical ventilation with a computer-driven system (closed-loop protocol): a pilot study. Pediatr Crit Care Med. 2007 Sep;8(5):425-32. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Length of weaning from mechanical ventilation that corresponds to the time from Time 0 to the first extubation. | first extubation or 28 days | No | |
Secondary | Total mechanical ventilation duration | first extubation or 28 days | No | |
Secondary | Proportion of time in the acceptable breathing zone | first extubation or 28 days | No | |
Secondary | Weaning failure | 48 hours after first extubation | No | |
Secondary | Number of interventions on the ventilator by a physician or physiotherapist | First extubation or 28 days | No |
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