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A randomized control trial comparing high flow oxygen therapy with low level pressure support during spontaneous breathing trial

Not Applicable
Recruiting
Conditions
pressure support ventilation
ready to wean
high flow oxygen therapy
mechanical ventilation
weaning
&#45
mechanically ventilated patients&#45
Registration Number
TCTR20190703002
Lead Sponsor
Faculty of Medicine Siriraj Hospital, Mahidol University
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
330
Inclusion Criteria

1. Age 18-90 years
2. On mechanical ventilation for at least 24 hours
3. Ready to wean by the following criteria
- FiO2 < 0.5
- Positive end expiratory pressure < 8 cmH2O
- PaO2/FiO2 > 200 หรือ SpO2 > 92%
- Respiratory rate < 30/min
- Stable hemodynamic (without or receiving norepinephrine less than 0.05 mcg/kg/min)
- Well cooperate
4. Agree to participate

Exclusion Criteria

1. Unstable hemodynamics: at least one of the following criteria
- SBP > 180 or < 90 mmHg
- DBP > 120 or < 60 mmHg
- Heart rate > 140 or < 60/min
- Presence of shock or poor tissue perfusion
2. Severe acid-base disturbance: pH < 7.3 or > 7.55
3. Pregnant women
4. Trachostomized patients

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Rate of SBT success 30 minutes SBT
Secondary Outcome Measures
NameTimeMethod
Extubation rate 48 hours extubation,28&#45;day mortality 28 days mortality,Blood pressure 30 minutes non&#45;invasive blood pressure measurement,Heart rate 30 minutes heart rate,Oxygen saturation 30 minutes pulse oximetry
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