A Randomized Controlled Trial of Noninvasive Positive Pressure Ventilation for Weaning From Mechanical Ventilation in Tracheotomy Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Respiratory Failure
- Sponsor
- Chongqing Medical University
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Main end-point defined as total duration of mechanical ventilation
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
The investigators adopt Noninvasive Positive Pressure Ventilation for weaning in tracheotomy patients innovatively. The investigators randomly allocate the subjects into two groups. One group is weaned by traditional strategy. The other one is weaned by Noninvasive Positive Pressure Ventilation by plugging the tracheotomy tube and deflating the cuff.
Detailed Description
The investigators adopt Noninvasive Positive Pressure Ventilation for weaning in tracheotomy patients innovatively .If patients'conditions met our defined criterions, the investigators randomly allocate two groups. One group adopts traditional weaning strategy, the other adopts Noninvasive Positive Pressure Ventilation. If patients' condition deteriorated in group two, the investigators turned them to invasive positive pressure ventilation, until patients adapted in a satisfactory condition, the investigators shift them into Noninvasive Positive Pressure Ventilation. The investigators will extubate the tracheotomy tube, if patients are received Noninvasive Positive Pressure Ventilation more than 24 to 48 hours. After extubation, the investigators try to wean Noninvasive Positive Pressure Ventilation. Successful wean is defined weaning mechanical ventilation more than 48 hours.
Investigators
Duan jun
resident physician
Chongqing Medical University
Eligibility Criteria
Inclusion Criteria
- •age ≥ 18 years
- •tracheotomy mechanical ventilation patients
Exclusion Criteria
- •pregnancy
- •respiratory and hemodynamic instability
- •Recent oral，nasal，facial or cranial trauma or surgery
- •contra-indications for nasal or facial mask (facial skin lesions,...)
- •recent history of upper gastro-intestinal surgery
- •recent history of myocardial infarction
- •unconscious patients
- •non cooperative patient
Outcomes
Primary Outcomes
Main end-point defined as total duration of mechanical ventilation
Time Frame: from admission to hospital to discharge from it or death
The total duration of mechanical ventilation was measured from the patient admitted to hospital to discharge from it or death, an expected average of 2 months.
Secondary Outcomes
- duration of invasive mechanical ventilation(from admission to hospital to discharge from it or death)
- duration of extubation tracheotomy tube(from admission to hospital to discharge from it or death)
- total duration of mechanical ventilation (invasive and non invasive)(from admission to hospital to discharge from it or death)
- successful weaning rate(from admission to hospital to discharge from it or death)
- ICU length of stay(from admission to hospital to discharge from it or death)
- hospital length of stay(from admission to hospital to discharge from it or death)