Status:

NOT_YET_RECRUITING

The Utility of Osteopathic Manipulative Medicine in Weaning Patients from the Ventilator Pilot Trial

Lead Sponsor:

Oklahoma State University Center for Health Sciences

Conditions:

Respiratory Failure

Osteopathy in Diseases Classified Elsewhere

Eligibility:

All Genders

18-85 years

Phase:

NA

Brief Summary

The objectives of this research are to determine the treatment effect size of OMM to wean patients off of the ventilator, determine the number of patients needed for a larger study (power), determine ...

Eligibility Criteria

Inclusion

  • Acute respiratory failure (hypoxic, hypercapnic, or neuromuscular)
  • Not making satisfactory progress with weaning after being on the ventilator for more than 48 hours
  • Clinical stability for pressure support trial with ventilator to monitor ventilation progression
  • Pulmonology must be following the patient for standardized ventilator management approach and interventions as needed
  • Medical power of attorney (POA) or legally authorized representative (LAR) who is able to consent subject for trial enrollment and treatment
  • Patients who were not referred to the OMM service

Exclusion

  • Age less than 18 years old or more than 85 years old
  • BMI\>60
  • Moderate/severe neurological disease with expectation of non-progression off the ventilator or poor quality of life predicted (including end-stage dementia with the expectation of non-progression off ventilator, multiple sclerosis, ALS, anoxic brain injury, etc)
  • Status epilepticus or EEG result pending
  • Post-arrest hypothermia protocol
  • Acute stroke
  • Acute rib fractures preventing the implementation of the treatment protocol
  • Acute spinal injury preventing the implementation of the treatment protocol
  • Recent head injury requiring close clinical monitoring
  • Ejection Fraction less than 15%
  • Pleural effusion requiring procedural intervention or inhibiting ventilator progress
  • Pericardial effusion or tamponade requiring procedural intervention or inhibiting ventilator progress
  • ACLS/cardiac arrest within the past 72 hours
  • Confirmed opioid overdose with positive urine drug screen and response to naloxone
  • Patients who were referred to the OMM service

Key Trial Info

Start Date :

March 17 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 8 2025

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT06891248

Start Date

March 17 2025

End Date

June 8 2025

Last Update

March 24 2025

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