The physiologic study of high-flow oxygen delivery via tracheostomy in patients requiring mechanical ventilatio
- Conditions
- Tracheostomized patients who require ventilator supportHigh-flow oxygen therapyTracheostomyRespiratory 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
1. Age 18-90 years
2. Tracheostomized patients
3. Ready to be weaned (pressure support 4. Glasgow Coma Scale > 8
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
Name Time Method Patient inspiratory effort 30 minutes Esophageal pressure-time product
- Secondary Outcome Measures
Name Time Method 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