Observational Evaluation of Risk Factors Regarding Extubation Failure in Severe Brain-injured Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Severe Brain Injury
- Sponsor
- Nantes University Hospital
- Enrollment
- 450
- Locations
- 3
- Primary Endpoint
- Extubation failure
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
Severe brain-injured patients require prolonged mechanical ventilation. Weaning these patients from mechanical ventilation is challenging. During neurologic recovery, brain injured patients usually present satisfactory respiratory autonomy. However, the exact timing of extubation is unknown and is frequently delayed because of potential inhalation.
To date, there are no clinical signs available in the current literature that can help the attending physician in the decision-making process of extubation in brain-injured-patients
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients with brain-injury (traumatic brain injury, subarachnoid haemorrhage, stroke, intracerebral hemorrhage, brain tumour) requiring ≥ 48 hours of mechanical ventilation after admission
Exclusion Criteria
- •Pregnant women
- •Patient consent withdrawal
Outcomes
Primary Outcomes
Extubation failure
Time Frame: In the 48 hours following extubation
Extubation failure is regarded as the need of intubation in the 48 hours following extubation Establish clinial signs before extubation that can predict extubation failure Realization of a systematic clinical examination by the attending physician before performing extubation in severe brain-injured patients
Secondary Outcomes
- Impact of extubation failure(Median 14 days after Intensive Care Unit (ICU) admission)