A prospective observational study to compare electrical impedance tomography parameter with conventional parameters in the prediction of spontaneous breathing trial success
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 75
- 试验地点
- 1
- 主要终点
- A novel parameter to predict SBT success
研究概览
简要总结
Weaning from mechanical ventilation is a challenging part of intensive care management. Spontaneous Breathing Trial (SBT), is a common method performed in the assessment of readiness for extubation. Certain conventional objective parameters like Negative Inspiratory force (NIF) and Rapid Shallow Breathing Index (RSBI) are assessed during SBT to predict weaning outcome. These parameters determine different aspects of respiratory muscle dynamics and respiratory drive, and help in assessment of readiness for extubation. Electrical impedance tomography (EIT) is a non-invasive imaging modality that provides a dynamic image of the distribution of air inside the lungs based on changes in electrical impedance. This study is to compare electrical impedance tomography parameter and conventional parameters in the prediction of spontaneous breathing trial success.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •1 Age more than 18 years 2 On invasive mechanical ventilation for more than 24 hours who are eligible to undergo SBT 3 GCS more than 12 4 Presence of cough during suctioning and need for infrequent tracheal suctioning 5 PaO2 FiO2 ration more than equal to 200 mm Hg with PEEP less than equal to 5 cm H2O and FiO2 less than equal to 0.4 6 Stable cardiovascular status.
排除标准
- •1 Presence of chest burn 2 Pregnancy 3 Recent within one week thoracic surgery or chest trauma 4 Patients with pneumothorax or surgical emphysema.
结局指标
主要结局
A novel parameter to predict SBT success
时间窗: 30 minutes
次要结局
- To predict extubation success(24 hours)
研究者
Dr Aditi Yadav
Medanta The Medicity