Peripheral Perfusion Index in Weaning From Mechanical Ventilation
Evaluation of Peripheral Perfusion Index as a Predictor of Failure of Weaning From Mechanical Ventilation
1 other identifier
observational
43
1 country
1
Brief Summary
Peripheral perfusion index (PPI) is variable measured by Radical-7 (Masimo) device and reflects the ratio between pulsatile and non-pulsatile portions of peripheral circulation. PPI is characterized by being non-invasive, real time, and simple variable. Impairment of various perfusion indices (such as central venous oxygen saturation and serum lactate) during spontaneous breathing trial (SBT) were previously reported; however, these indices are characterized by being relatively invasive. We hypothesized that impairment of PPI during SBT might be predictive of weaning failure. The aim of this work was to evaluate the possible association between PPI and success of SBT
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Jun 2019
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 31, 2019
CompletedFirst Posted
Study publicly available on registry
June 5, 2019
CompletedStudy Start
First participant enrolled
June 6, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 6, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
October 10, 2019
CompletedJanuary 28, 2020
January 1, 2020
4 months
May 31, 2019
January 25, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
peripheral perfusion index (PPI) ratio
PPI by the end of spontaneous breathing trial (SBT) / baseline PPI
30 minutes
Secondary Outcomes (7)
peripheral perfusion index
30 minutes
heart rate
30 minutes
systolic blood pressure
30 minutes
cardiac output
30 minutes
central venous pressure
30 minutes
- +2 more secondary outcomes
Eligibility Criteria
mechanically ventilated patients for more than 48 hours
You may qualify if:
- mechanically ventilated patients for more than 48 hours
You may not qualify if:
- patients \< 18 years
- patients with peripheral vascular disease
- patients on vasopressors
- patients with hand injuries hindering which would preclude the application of the device probe
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Cairo Universitylead
Study Sites (1)
Cairo University
Cairo, Egypt
Related Publications (1)
Lotfy A, Hasanin A, Rashad M, Mostafa M, Saad D, Mahmoud M, Hamimy W, Fouad AZ. Peripheral perfusion index as a predictor of failed weaning from mechanical ventilation. J Clin Monit Comput. 2021 Apr;35(2):405-412. doi: 10.1007/s10877-020-00483-1. Epub 2020 Feb 8.
PMID: 32036499DERIVED
Biospecimen
arterial blood gases (ABG)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- assistant professor
Study Record Dates
First Submitted
May 31, 2019
First Posted
June 5, 2019
Study Start
June 6, 2019
Primary Completion
October 6, 2019
Study Completion
October 10, 2019
Last Updated
January 28, 2020
Record last verified: 2020-01