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The physiologic study of high-flow oxygen delivery via tracheostomy in patients requiring mechanical ventilatio

Not Applicable
Completed
Conditions
Tracheostomized patients who require ventilator support
High&#45
flow oxygen therapy
Tracheostomy
Respiratory Failure
Registration Number
TCTR20180612001
Lead Sponsor
Faculty of Medicine Siriraj Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
22
Inclusion Criteria

1. Age 18-90 years
2. Tracheostomized patients
3. Ready to be weaned (pressure support 4. Glasgow Coma Scale > 8

Exclusion Criteria

1. Unstable hemodynamics (systolic BP > 180 and/or < 90 mmHg, diastolic BP > 100 and/or < 60 mmHg, heart rate > 140 and/or < 60/min, or clinical signs of shock)
2. Respiratory distress (RR > 35/min or SpO2 < 92%)
3. Acid-base disturbance (pH < 7.3 or > 7.55)
4. Contraindications for esopheageal balloon insertion (upper GI bleeding, esophageal varices, esophageal or gastric surgery within 3 months, platelet < 50,000 cu.mm.or coagulopathy)
5. Pregnant woman

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Patient inspiratory effort 30 minutes Esophageal pressure&#45;time product
Secondary Outcome Measures
NameTimeMethod
Respiratory rate 30 minutes breath/minute,Hemodynamics (heart rate and mean arterial blood pressure) 30 mintues beat/min and mmHg,Oxygen saturation 30 minutes Pulse oximetry (%),Transcutaneous carbon dioxide pressure 30 minutes mmHg
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