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Clinical Trials/ISRCTN10162509
ISRCTN10162509
Completed
未知

Combination of central venous-to-arterial PCO2 difference and central venous oxygen saturation accurately predict weaning outcome from mechanical ventilation

Centre Hospitalier de Lens0 sites85 target enrollmentSeptember 6, 2019

Overview

Phase
未知
Intervention
Not specified
Conditions
Respiratory
Sponsor
Centre Hospitalier de Lens
Enrollment
85
Status
Completed
Last Updated
6 years ago

Overview

Brief Summary

No summary available.

Registry
who.int
Start Date
September 6, 2019
End Date
February 20, 2018
Last Updated
6 years ago
Study Type
Observational
Sex
All

Investigators

Eligibility Criteria

Inclusion Criteria

  • 1\. Aged 18 years or older
  • 2\. Under mechanical ventilation for at least 48 hours
  • 3\. Satisfied the weaning criteria. The readiness to wean criteria were:
  • 3\.1 The resolution or improvement of the underlying cause of respiratory failure for which the patient was intubated
  • 3\.2 Hemodynamic stability, defined as heart rate (HR) \< 140/min and systolic blood pressure between 90 and 160 mmHg with no or minimal doses of vasopressors
  • 3\.3 Stable respiratory status, defined as oxygen saturation \>90% with fraction of inspired oxygen (FiO2\) \=0\.4 and positive end expiratory\-pressure (PEEP) \=8 cmH2O, respiratory rate (RR) \=35/min, spontaneous tidal volume (Vt) \>5 mL/kg, ratio of RR/Vt \<105/min per liter, and no significant respiratory acidosis
  • 3\.4 Adequate mental status (Glasgow Coma Scale score \>13\)
  • 3\.5 Adequate cough.
  • 4\. Patients also had to have an arterial catheter and a central line with the tip confirmed by x\-ray to be in the superior vena cava near at the entrance or in the right atrium.

Exclusion Criteria

  • 1\. Tracheotomized patients
  • 2\. Do\-not\-reintubate orders
  • 3\. Pregnancy
  • 4\. No informed consent
  • 5\. Poor cardiac echogenicity

Outcomes

Primary Outcomes

Not specified

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