NCT03121482
Completed
Not Applicable
High-flow Nasal Cannula Oxygen Therapy With or Without Non-invasive Ventilation (NIV) During the Weaning Period: a Multicenter Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Acute Respiratory Failure Requiring Reintubation
- Sponsor
- Poitiers University Hospital
- Enrollment
- 650
- Locations
- 1
- Primary Endpoint
- Reintubation at Day 7
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
Prospective multicenter randomized controlled open-label trial comparing 2 strategies of oxygenation during the post-extubation period in ICU patients at high risk of extubation failure. Patients will be randomized and assigned to one of the two groups, with a 1:1 ratio.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Duration of mechanical ventilation prior to extubation at least 24h
- •Planned extubation decided by the physician in charge of the patient after success of a weaning trial
- •Patients at high risk of reintubation according to the following criteria: patients older than 65 years, or those having any underlying chronic cardiac or lung disease.
Exclusion Criteria
- •Patient admitted for traumatic brain injury
- •Periphal neuromuscular disease as reason for intubation
- •Usual lon-term treatment with NIV for chronic desease
- •Usual lon-term treatment with CPAP for obstructive apneas syndrome
- •Contraindication to NIV
- •Unplanned extubation
- •Do-not-reintubated order at time of extubation
- •Terminal extubation for end of life
- •People under legal protection
- •Opposition to participate
Outcomes
Primary Outcomes
Reintubation at Day 7
Time Frame: up to 7 days
The rate of reintubation will be assessed within the 7 days following planned extubation
Study Sites (1)
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