Status:

WITHDRAWN

Automated Ventilator Controlled Weaning vs Daily Spontaneous Breathing Trial in Difficult to Wean ICU Patients

Lead Sponsor:

University of California, San Francisco

Conditions:

Mechanical Ventilation

Weaning

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

This study will compare Drager Smart Care (SC), a commercially available automated ventilator controlled weaning mode to the current daily spontaneous breathing trial (SBT) weaning protocol. The study...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years
  • Intubated with endotracheal tube
  • Requiring mechanical ventilation for \> 72 hours
  • Meets weaning criteria: Improvement or resolution of the underlying process that precipitated need for mechanical ventilation, PaO2 ≥ 60 mm Hg on PEEP and FiO2 Requirements of ≤ 8 cm H2O and FiO2 ≤ 0.50, Stable oxygenation: PEEP and FiO2 requirements not increased in the past 24 hrs, Ability to initiate an inspiratory effort and trigger the ventilator, Subject enrollment approved by the primary service attending physician

Exclusion

  • Pregnancy
  • Patients with tracheostomy or planned tracheostomy prior to attempt to extubate
  • Patients with known airway patency issues that are anticipated to delay extubation.
  • Patients with neurological injury in whom care is likely to be withdrawn
  • Patients with cervical spinal cord injury.
  • Prospective subject or surrogate consenter does not fully understand the implications of the study because of a language barrier.

Key Trial Info

Start Date :

November 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 1 2011

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT00813839

Start Date

November 1 2008

End Date

October 1 2011

Last Update

May 8 2015

Active Locations (1)

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1

San Francisco General Hospital, UCSF Dept. of Anesthesia

San Francisco, California, United States, 94110