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High-flow Nasal Cannula Oxygen Therapy With or Without NIV During the Weaning Period

Not Applicable
Completed
Conditions
Acute Respiratory Failure Requiring Reintubation
Registration Number
NCT03121482
Lead Sponsor
Poitiers University Hospital
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
650
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

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Reintubation at Day 7up to 7 days

The rate of reintubation will be assessed within the 7 days following planned extubation

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

CHU Poitiers

🇫🇷

Poitiers, France

CHU Poitiers
🇫🇷Poitiers, France

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