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Cough Determinants in Mechanically Ventilated Patients

Not Applicable
Completed
Conditions
Mechanical Ventilation
Registration Number
NCT01564745
Lead Sponsor
University Hospital, Caen
Brief Summary

In our knowledge there is only few data about the cough determinants in mechanically ventilated patients. However some failure of extubation is due to inefficiency cough. In order to determine some determinants of cough, the investigators propose to evaluate systematically different physiological parameters before and after extubation.

Detailed Description

In order to evaluate, and identify the cough determinants, the investigators propose a physiological evaluation for each patients who were intubated and mechanically ventilated during at least 72 hours. Indeed inefficacy of cough after extubation is one of the main reason of extubation failure. However there is no any mean to evaluate it simply now.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
180
Inclusion Criteria
  • Patients mechanically ventilated since 72h
  • Age > 18 years
  • Hospitalized in Intensive care Unit
  • In weaning phase - with the classically criteria to be extubated
  • Patients who passed the weaning test (T tube test or other)
Exclusion Criteria
  • Hemodynamic instability
  • Absence of consent
  • No cooperation of the patient
  • Hemodynamic instability
  • pH < 7,30
  • Severe hypoxemia

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Interest of systematically cough evaluation before extubation2 days after extubation

All the patients enrolled have a physiological evaluation before and after extubation. After extubation the evaluation will be done respectively at D0, D1, D3 and D5. The first endpoint is the success of extubation which is evaluated à D2.

Secondary Outcome Measures
NameTimeMethod
Correlation between success of extubation and respiratory parameters2 days after extubation

Trial Locations

Locations (2)

University Hospital, Caen

🇫🇷

Caen, France

University Hospital, Garches

🇫🇷

Garches, France

University Hospital, Caen
🇫🇷Caen, France
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