Ultrasonic Weaning Criteria in Prolonged Ventilation

NCT05794867 | Completed

• 1 other identifier: icu- 4-23
• Study Type: observational
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

compare and evaluate the effect of use of ultrasonic criteria of weaning versus the conventional ways of weaning in post-traumatic acute respiratory distress syndrome (ARDS) patients who were ventilated for a long time. And compare their effect on the duration of ICU stay.

Conditions

Acute Respiratory Distress Syndrome

Outcome Measures

Primary Outcomes (1)

• The number of patients who had no failure of weaning

  patients followed by ultrasounds criteria

  6 days

Secondary Outcomes (1)

• The number of patients who discharged early from ICU

  6 days

Study Arms (2)

Patients were randomly allocated in one of two groups each group contain 100 patients.

Group A considered control group. Those patients weaned from the ventilator by the conventional criteria of weaning

Diagnostic Test: clinical weaning criteria

100 patients

group B weaned from the ventilator by the ultrasound criteria of weaning. All patients weaned from both groups followed for six days for signs of failure of weaning ,signs of post-extubation respiratory failure. And number of patients who were re-ventilated and who discharged from ICU in both groups recorded and compared.

Interventions

clinical weaning criteria DIAGNOSTIC_TEST

Xray chest and calculation of thr rapid shallow breathing rate

Also known as: arterial blood gases and reading on the ventilator

Patients were randomly allocated in one of two groups each group contain 100 patients.

Eligibility Criteria

• Age: 18 Years - 65 Years
• Gender Eligibility Details: both sex are allocated randomly in one of the two groups
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

It is a prospective double blind study done on total 200 patients. Who were weaned from ventilator after being ventilated for \> one week due to respiratory failure. This respiratory failure was selected in our study to be from severe lung contusion and post-traumatic acute respiratory distress syndrome.

You may qualify if:

• adult patients between 18-65 years old,
• with Acute respiratory distress syndrome,
• any ventilated patients for more than one week

You may not qualify if:

• young or pediatric patients below 18 years.
• patients older than 65 years
• patients had Chronic Respiratory Disease

Sponsors & Collaborators

• King Abdul Aziz Specialist Hospital: lead

Study Sites (1)

King abd el Aziz specialist hospital

Ta'if, 21944, Saudi Arabia

Location

MeSH Terms

Conditions

Respiratory Distress Syndrome

Interventions

Blood Gas Analysis

Condition Hierarchy (Ancestors)

Lung Diseases; Respiratory Tract Diseases; Respiration Disorders

Intervention Hierarchy (Ancestors)

Blood Chemical Analysis; Clinical Chemistry Tests; Clinical Laboratory Techniques; Diagnostic Techniques and Procedures; Diagnosis; Respiratory Function Tests; Diagnostic Techniques, Respiratory System; Investigative Techniques

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: NETWORK
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 19, 2023
• First Posted: April 3, 2023
• Study Start: April 1, 2021
• Primary Completion: March 19, 2023
• Study Completion: March 19, 2023
• Last Updated: April 3, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)