Search / Trial NCT06617156

Comparison of Ventilator Versus Traditional Measurement Methods of Rapid Shallow Breathing Index for Predicting Extubation Success

Launched by NATIONAL TAIWAN UNIVERSITY HOSPITAL · Sep 25, 2024

Trial Information

Current as of October 09, 2024

Not yet recruiting

Keywords

Ventilator Weaning Spirometry Rapid Shallow Breathing Index Ventilator Wright Spirometer

Description

In the Intensive Care Unit (ICU), approximately 25% of patients undergoing mechanical ventilation may experience difficulties during weaning from the ventilator. This can lead to delayed extubation, prolonged mechanical ventilation, increased length of stay in the hospital or ICU, and higher healthcare costs. On the other hand, premature extubation can result in secondary complications, increasing morbidity and mortality rates in the ICU. About 15% of patients who stop mechanical ventilation require reintubation within 48 hours. Therefore, it is crucial for intensivists to determine the app...

Gender

ALL

Eligibility criteria

  • Inclusion Criteria:
  • * Age 18 years or older.
  • * Admission to the Intensive Care Unit (ICU).
  • * Endotracheal intubation with mechanical ventilation for more than 24 hours.
  • * P/F ratio \> 150; FiO2 ≤ 40% and Positive End-Expiratory Pressure (PEEP) ≤ 8 cmH2O.
  • * Hemodynamically stable, without the need for vasoactive drugs or requiring only low doses.
  • Exclusion Criteria:
  • * Significant cardiac ischemia or arrhythmia.
  • * Patients with a tracheostomy.
  • * Patients with an endotracheal tube with an internal diameter smaller than 7.0 mm.
  • * Patients who have undergone repeated intubations within the past month.

About National Taiwan University Hospital

National Taiwan University Hospital (NTUH) is a leading medical institution renowned for its commitment to advancing healthcare through innovative research and clinical trials. As a pioneer in medical education and patient care in Taiwan, NTUH integrates cutting-edge technology with comprehensive clinical expertise to facilitate groundbreaking studies across various medical fields. The hospital’s dedicated research team collaborates with local and international partners to enhance the understanding of diseases and improve treatment outcomes. By prioritizing patient safety and ethical standards, NTUH strives to contribute to the global medical community and foster advancements in healthcare practices.

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Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

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