Ventilator Weaning Clinical Trial
Official title:
Remote Monitoring to Optimize Ventilatory Support in Children With Invasive Home Mechanical Ventilation
Some children who are born very early or have other congenital conditions may develop severe, long-term lung problems that make them need to use a breathing machine to live at home. There are no studies that identify the best ways to monitor a home breathing machine or adjust its settings. Increasingly, healthcare systems are using information collected at home to make more informed decisions about a patient's healthcare treatment, which is called "remote patient monitoring". This study will ask whether using remote patient monitoring can provide more complete information to a child's team of doctors, nurses, and respiratory therapists to help a child's healthcare team and family make more informed decisions about a child's home ventilator care. The investigators are hypothesizing it can safely decrease the level of breathing support children need while also avoiding emergency and hospital care and supporting their growth, development, and participation in daily life.
This is a single-arm, non-randomized, open-label trial using remote patient monitoring for chronic management of invasive home mechanical ventilation in children. The investigators hypothesize that integration of longitudinal physiologic data and patient reported outcome measures into routine clinical care over 4 months can optimize home mechanical ventilation use by 1) reducing the level home mechanical ventilation level of support, 2) improving patient and family quality of life, specifically participation in daily activities and patient's lung symptoms, and 3) improving family-reported shared decision-making and child's access to ventilator care. The investigators will also evaluate its usability within family life and provider workflows and assess early implementation outcomes. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT02894177 -
Transcutaneous Carbon Dioxide Pressure (tcPCO2) Monitoring for the Prediction of Extubation Failure in the ICU
|
N/A | |
Recruiting |
NCT05114551 -
ICU Predictive Score of WEaning Success in Patients At Risk of Extubation Failure
|
||
Completed |
NCT04011852 -
The Role of Chest Electrical Impedance Tomography in the Pediatric Ventilator Weaning
|
||
Recruiting |
NCT02921334 -
Early Tracheotomy for Switching Between Invasive and Noninvasive Ventilation to Facilitate Weaning
|
N/A | |
Recruiting |
NCT02921347 -
Switching Between Invasive and Noninvasive Ventilation to Facilitate Weaning in Difficult-weaning Patients
|
N/A | |
Active, not recruiting |
NCT04023643 -
Pediatric Ventilation Weaning
|
N/A | |
Completed |
NCT05254691 -
WOB and Paediatric Mechanical Ventilation
|
N/A | |
Recruiting |
NCT05999526 -
Mechanical Ventilation Reconnection for One Hour After Spontaneous Breathing Trial
|
N/A | |
Active, not recruiting |
NCT02820090 -
The Predictive Effect of the Inflammatory Response on the Evacuation of Mechanical Ventilation and the Mechanism
|
N/A | |
Recruiting |
NCT01131377 -
Acetazolamide Facilitates Ventilator Weaning
|
N/A | |
Completed |
NCT02412202 -
Echocardiographic Detection of Extravascular Lung Water Increase During Weaning From Mechanical Ventilation
|
N/A | |
Completed |
NCT00445289 -
Automatic Control of Pressure Support Ventilation in Surgical Intensive Care Units
|
N/A | |
Recruiting |
NCT05380687 -
Time Course of Neuro-ventilatory Efficiency During a Spontaneous Breathing Training
|
N/A | |
Terminated |
NCT01535755 -
A Protocol to Wean From Noninvasive Mechanical Ventilation
|
N/A | |
Completed |
NCT04711759 -
Physiologic Effects of High-flow Nasal Cannula Versus Standard Oxygen Therapy Postextubation in Critically Ill Patients
|
N/A | |
Completed |
NCT03433105 -
Oxygen Uptake in Weaning of Patients From Prolonged Mechanical Ventilation
|
||
Completed |
NCT00505804 -
A Comparison of Dexmedetomidine and Haloperidol in Patients With Intensive Care Unit (ICU)-Associated Agitation and Delirium
|
Phase 2 | |
Completed |
NCT02946502 -
Handgrip Strength Value in Predicting Mechanical Ventilation Weaning
|
N/A | |
Completed |
NCT03673683 -
Sedation and Weaning in Children Requiring Invasive Mechanical Ventilation
|
N/A | |
Terminated |
NCT03019107 -
Breath Synchronized Abdominal Muscle Stimulation to Facilitate Ventilator Weaning: a Pilot Study
|