NCT00606788

Brief Summary

The purpose of this study was to determine whether computer-driven protocolized weaning is superior to physician-directed non-protocolized weaning in over-24-hours-ventilated surgical intensive care unit (ICU) patients. The main hypothesis was that weaning duration differs between both methods. Secondary hypotheses were that reintubation rate, duration of mechanical ventilation, intensive care unit (ICU) length of stay and workload for physicians and nurses differ between both methods.

Trial Health

33
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Trial recruitment is currently suspended
Enrollment
60

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Nov 2005

Geographic Reach
1 country

1 active site

Status
suspended

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2005

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2007

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2007

Completed
12 months until next milestone

First Submitted

Initial submission to the registry

January 16, 2008

Completed
20 days until next milestone

First Posted

Study publicly available on registry

February 5, 2008

Completed
Last Updated

February 18, 2008

Status Verified

January 1, 2008

Enrollment Period

1.2 years

First QC Date

January 16, 2008

Last Update Submit

February 12, 2008

Conditions

Keywords

randomized clinical trialsintensive caremechanical ventilationventilator weaningclinical protocolstherapy, computer-assistedhumansvarious surgical diseases requiring mechanical ventilation over 24 hours

Outcome Measures

Primary Outcomes (1)

  • weaning duration

    measured in days

Secondary Outcomes (1)

  • reintubation rate

    expressed as a percentage

Study Arms (2)

AW

ACTIVE COMPARATOR

Patients received computer-driven protocolized weaning (= Automated Weaning)

Device: SmartCare/PS (Automated Weaning)

CW

ACTIVE COMPARATOR

Patients received physician-directed non-protocolized weaning (= Conventional Weaning)

Procedure: Conventional weaning

Interventions

Patients received computer-driven protocolized weaning

Also known as: SmartCare/PS (Draeger Medical AG & Co. KG, Luebeck, Germany)
AW

Patients received physician-directed non-protocolized weaning

CW

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • mechanical ventilation \> 24 hours
  • intubation OR tracheostomy
  • informed consent
  • kg bodyweight (77,2 - 440,9 lb)
  • Ramsay-Score \< 3
  • spontaneous breathing at a PEEP of \< 10 cm H2O
  • sufficient arterial oxygenation (paO2 \> 55 mmHg or SaO2 \> 90%)
  • haemodynamic stability (\< 5 µg/kg/min Dopamine)
  • body temperature (rectal) max. 39 °C / 102.2 °F
  • hemoglobin \> 7 g/dl
  • pH \> 7,2

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

UKSH Campus Luebeck, Department of Surgery and Surgical Intensive Care

Lübeck, Schleswig-Holstein, 23538, Germany

Location

Related Publications (1)

  • Lellouche F, Mancebo J, Jolliet P, Roeseler J, Schortgen F, Dojat M, Cabello B, Bouadma L, Rodriguez P, Maggiore S, Reynaert M, Mersmann S, Brochard L. A multicenter randomized trial of computer-driven protocolized weaning from mechanical ventilation. Am J Respir Crit Care Med. 2006 Oct 15;174(8):894-900. doi: 10.1164/rccm.200511-1780OC. Epub 2006 Jul 13.

    PMID: 16840741BACKGROUND

MeSH Terms

Conditions

NeoplasmsMusculoskeletal DiseasesDigestive System DiseasesRespiratory Tract DiseasesCardiovascular Diseases

Study Officials

  • Elke Muhl, Prof. Dr. med.

    University of Luebeck

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

January 16, 2008

First Posted

February 5, 2008

Study Start

November 1, 2005

Primary Completion

January 1, 2007

Study Completion

February 1, 2007

Last Updated

February 18, 2008

Record last verified: 2008-01

Locations