Evaluation of Gas Humidification Practices in Patients Under Invasive Mechanical Ventilation: Benefit of the F & P950 Heated Humidifier: Comparison With the MR 850 on Clinical Events of Under-humidification
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Endotracheal tube occlusion requiring emergency tube change
研究概览
简要总结
When mechanical ventilation is initiated, a humidification method should be chosen. There is two methods: heat and humidity exchanger filters or heated humidity. The second method is recognized to be more efficient, but many external factors can influence its performance. Insufficient humidity results in observable problems, such as difficult management of respiratory secretions.
The study compare two heated humidifiers already used in ICU.
Data will be collected retrospectively from June 1, 2021.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •≥ 18 years old
- •Admitted to intensive care
- •Under invasive mechanical ventilation with the usual indications for the use of a heated humidifier (prolonged invasive mechanical ventilation and / or protective ventilation requiring high respiratory rates.
排除标准
- •Mechanical venitilation immediately after surgery (<24h)
- •Imminent extubation or planned intubation of very short duration (<24h)
- •Enrolled in the SAVE-ICU study in the group receiving volatile agents with the AnaConDa system.
结局指标
主要结局
Endotracheal tube occlusion requiring emergency tube change
时间窗: At the end of the mechanical ventilation period or at 21 days ( the first of the 2 occurred)
Under-humidification episodes are defined as follows: \- Occurence of endotracheal tube occlusion requiring emergency tube change
Bronchoscopy
时间窗: At the end of the mechanical ventilation period or at 21 days ( the first of the 2 occurred)
Under-humidification episodes are defined as follows: \- Occurence of performing a bronchoscopy for a suspected sub-occlusion (thick or sticky secretions), and the total number of bronchoscopies performed per patient
Tracheal saline instillations
时间窗: At the end of the mechanical ventilation period or at 21 days ( the first of the 2 occurred)
Under-humidification episodes are defined as follows: \- Occurence of tracheal saline instillations due to sticky secretions or suspected endotracheal tube sub-occlusion
Thick secretions
时间窗: At the end of the mechanical ventilation period or at 21 days ( the first of the 2 occurred)
Under-humidification episodes are defined as follows: \- Occurence of tracheal secretions describe at thick secretions (rated at 5 on the secretions scale used at the hospital) or "sticky secretions" if specified
Change humidifier settings
时间窗: At the end of the mechanical ventilation period or at 21 days ( the first of the 2 occurred)
Under-humidification episodes are defined as follows: \- The number of operations required to change humidifier settings if the plate temperature is below 62 degrees Celcius (with the MR850).
次要结局
- Other elements that may be influenced by the quality of the humidification used during mechanical ventilation(At the end of the mechanical ventilation period or at 21 days ( the first of the 2 occurred))
研究者
François Lellouche
Principal Investigator
Laval University