Advantages and Disadvantages of Long Term Sedation in Intensive Care Unit Patients

NCT ID: NCT00466492

Last Updated: 2010-03-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2009-05-31

Brief Summary

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The purpose of the study is to determine whether sedation of the critical ill patient prolongs the time receiving mechanical ventilation.

Detailed Description

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The golden standard is to sedate critical ill patients receiving mechanical ventilation with daily wake up trials. This is shown to reduce the time receiving mechanical ventilation compared to no wake up trials.

We would like to study whether no sedation but only analgesics administered as bolus doses, reduce the time receiving mechanical ventilation. The study is planned as a randomised prospective study, not blinded. The control group is patients receiving sedation with daily wake up trials. The intervention group is not sedated, but receives bolus doses of analgesics (morphine). The endpoint is the time spend receiving mechanical ventilation, lengths of stay on the intensive care unit, and total lengths of stay on the hospital.

We also examine the frequency of ventilator associated pneumonia and CT scans of cerebrum. Also we would like to examine the long term psychological effects of sedation, we plan to send some of the patients to a post traumatic stress screening. The effect on the next of kin we plan to study with a questionnaire. As a last thing we would like to study the workload on the nurses.

Conditions

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Critical Illness Length of Stay Respiration, Artificial Intensive Care Units

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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No sedatation intervention

The intervention group is the normal care in our institution, the control group is the golden standard

Group Type OTHER

Sedation or no sedation during mechanical ventilation

Intervention Type PROCEDURE

No sedation to critically ill patients

Interventions

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Sedation or no sedation during mechanical ventilation

No sedation to critically ill patients

Intervention Type PROCEDURE

Other Intervention Names

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Awake intensive care Denmark Mechanical ventilation

Eligibility Criteria

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Inclusion Criteria

* Intubated receiving mechanical ventilation
* Expected to remain intubated more than 24 hours
* Over 18 years

Exclusion Criteria

* Raised intracranial pressure
* Pregnant
* Treatment with muscle relaxants
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Odense University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Anaesthesiologic-intensive unit, Odens University Hospital

Principal Investigators

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Palle Toft, Professor

Role: STUDY_CHAIR

Institute of Clinical Research

Locations

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Anaesthesiologic-intensive Care Department, Odense University Hospital

Odense C, Odense C, Denmark

Site Status

Countries

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Denmark

References

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Kress JP, Pohlman AS, O'Connor MF, Hall JB. Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. N Engl J Med. 2000 May 18;342(20):1471-7. doi: 10.1056/NEJM200005183422002.

Reference Type RESULT
PMID: 10816184 (View on PubMed)

Kress JP, Gehlbach B, Lacy M, Pliskin N, Pohlman AS, Hall JB. The long-term psychological effects of daily sedative interruption on critically ill patients. Am J Respir Crit Care Med. 2003 Dec 15;168(12):1457-61. doi: 10.1164/rccm.200303-455OC. Epub 2003 Oct 2.

Reference Type RESULT
PMID: 14525802 (View on PubMed)

Schweickert WD, Gehlbach BK, Pohlman AS, Hall JB, Kress JP. Daily interruption of sedative infusions and complications of critical illness in mechanically ventilated patients. Crit Care Med. 2004 Jun;32(6):1272-6. doi: 10.1097/01.ccm.0000127263.54807.79.

Reference Type RESULT
PMID: 15187505 (View on PubMed)

Strom T, Stylsvig M, Toft P. Long-term psychological effects of a no-sedation protocol in critically ill patients. Crit Care. 2011;15(6):R293. doi: 10.1186/cc10586. Epub 2011 Dec 13.

Reference Type DERIVED
PMID: 22166673 (View on PubMed)

Strom T, Johansen RR, Prahl JO, Toft P. Sedation and renal impairment in critically ill patients: a post hoc analysis of a randomized trial. Crit Care. 2011;15(3):R119. doi: 10.1186/cc10218. Epub 2011 May 4.

Reference Type DERIVED
PMID: 21542927 (View on PubMed)

Strom T, Martinussen T, Toft P. A protocol of no sedation for critically ill patients receiving mechanical ventilation: a randomised trial. Lancet. 2010 Feb 6;375(9713):475-80. doi: 10.1016/S0140-6736(09)62072-9. Epub 2010 Jan 29.

Reference Type DERIVED
PMID: 20116842 (View on PubMed)

Related Links

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Other Identifiers

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22-6-06

Identifier Type: -

Identifier Source: org_study_id

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