Impact of early or late tracheostomy in the clinical course of critically ill patients undergoing prolonged mechanical ventilation: a randomized clinical trial

niversity Hospital of Bellvitge (Hospital Universitari de Bellvitge) (Spain)0 个研究点目标入组 1,452 人开始时间: 2014年3月27日最近更新: 2015年1月13日

试验速览

暂无简介。

•Patients admitted to the intensive care unit (ICU) with:
•1. Aged over 17
•2. Over 2 days of mechanical ventilation and expected by attending physician to be 7 or more days of mechanical ventilation

•1. Patients already tracheotomized
•2. Patients previously included in another trial
•3. Technical difficulty to perform a percutaneous tracheotomy
•4. Patients without limitation of life support but any of the following conditions: intracranial hypertension (ICP> 15), risk of bleeding (platelets <50000 or prothrombin time INR> 1.5), severe respiratory failure (PEEP> 10cmH20 or PO2 / FiO2 <100)
•5. Patients with poor prognosis and any type of decision to limit life support measures
•6. Patients requiring urgent tracheotomy on medical grounds (to improve the management of the upper airway, neurological illness, etc.)

发起方

niversity Hospital of Bellvitge (Hospital Universitari de Bellvitge) (Spain)