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Protocolised trial of invasive and non-invasive weaning off ventilation (The 'Breathe' Study)

Not Applicable
Completed
Conditions
Topic: Generic Health Relevance and Cross Cutting Themes
Subtopic: Generic Health Relevance (all Subtopics)
Disease: Critical Care
Respiratory
Respiratory failure, unspecified
Registration Number
ISRCTN15635197
Lead Sponsor
Heart of England NHS Foundation Trust (UK)
Brief Summary

1. 2018 results in: https://www.ncbi.nlm.nih.gov/pubmed/30347090 2. 2019 results in: https://www.ncbi.nlm.nih.gov/pubmed/31532358 (added 19/09/2019)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
364
Inclusion Criteria

1. Male and female, age > 16 years
2. Patients with respiratory failure who have received invasive ventilation for more than 48 hours (from the time of intubation)
3. Fail a spontaneous breathing trial (SBT)
4. Provision of written informed consent

The trial inclusion criteria will be adult patients with respiratory failure who have received invasive ventilation for more than 48 hours (from the time of intubation) and fail a SBT. We will not include patients who require shorter periods of invasive ventilation or those who pass the SBT as this group are typically rapidly weaned and have good clinical outcomes.

Exclusion Criteria

1. Presence of tracheostomy
2. Profound neurological deficit
3. Any absolute contraindication to NIV
4. Home ventilation prior to ICU admission
5. Decision not to re-intubate or withdrawal of care anticipated
6. Further surgery / procedure requiring sedation planned in next 48 hours
7. Previous participation in the trial

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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