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Examination of Cardiovascular Function/ Cardio Respiratory Interaction on Spontaneous Breathing Trials in Patients in the Prolonged Weaning

Conditions
Cardiovascular Disease
Interventions
Other: Spontaneous breathing trial
Registration Number
NCT02569385
Lead Sponsor
RWTH Aachen University
Brief Summary

The aim of the present study is to determine the cardiovascular function/ cardio respiratory interaction on spontaneous breathing trials in patients with prolonged weaning.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
20
Inclusion Criteria
  • legal Age (≥18 years)

  • written informed consent Prior to study participation

  • patient in prolonged weaning with NYHA I-II and an actual positive Ventilator Screening test:

    1. PaO2 ≥ 60 mmHg at FiO2 ≤ 0.4
    2. PEEP ≤ 8 cmH2O
    3. Glasgow Coma Scale > 13
    4. Temp. < 38°C
    5. Hb > 80-100 g/L
    6. less requirement on catecholamines (<0.1µg/kg/min)
  • and on these patients are already performed a spontaneous breathing trial with following result:

    1. abortion this spontaneous breathing trial < 30min, but possible > 10min
    2. reason for an abortion was NOT hypercapnia
Exclusion Criteria
  • weaning patients are assigned on Group 1-2
  • patient with heart failure (NYHA III-IV) and/ or other cardiac comorbidity
  • acute NSTEMI (non-ST-segment elevation myocardial infarction)
  • pregnancy and breast-feeding

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
spontaneous breathing trialsSpontaneous breathing trialspontaneous breathing trials in patients with prolonged weaning
Primary Outcome Measures
NameTimeMethod
Baseline measurement (Modus "CPAP-PS") in patient with prolonged weaning12 months

under pressure support Ventilation are determined some measurement (e.g. breathing rate)

Secondary Outcome Measures
NameTimeMethod
Intervention measurement in patient with prolonged weaning12 months

20 min breathing without mechanical ventilation

Trial Locations

Locations (1)

University Hospital RWTH Aachen, Department of Medical Clinic I

🇩🇪

Aachen, 52074, Germany

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