Cough Peak Flow for Extubation Prediction

NCT ID: NCT02847221

Last Updated: 2016-07-28

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

Total Enrollment

92 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-11-30

Study Completion Date

2015-11-30

Brief Summary

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Successful weaning from mechanical ventilation in ICU patients depends on patient ability to breathe spontaneously and on cough efficiency. Previous studies found that cough peak flow (CPF) at 60 L/min threshold predicted extubation failure. These studies measured CPF using a dedicated flow-meter that required patient disconnection from the ventilator, limiting the generalizability of this procedure. This study aimed to predict extubation outcome in a consecutive series of patients by measuring CPF from the ventilator flow-meter. CPF measurements were done by freezing ventilator screen and scrolling the cursor to the maximal value of CPF during expiration and Tidal Volume (TV) in preceding inspiration.

The objective was to assess the performance of CPF to predict early extubation outcome.

Detailed Description

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Conditions

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Extubation in ICU Patients

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years
* Intubation \> 24h
* Eligible for scheduled weaning trial and then scheduled extubation
* Mechanical ventilation from Evita XL ventilator (Dräger, Germany)
* Patient's agreement to participate

Exclusion Criteria

\- Withdrawal decision of life supporting care
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Florent GOBERT, MD

Role: PRINCIPAL_INVESTIGATOR

Hospices Civils de Lyon

Locations

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Medical Intensive care unit, Croix-Rousse Hospital. 103 Grande Rue de la Croix-Rousse

Lyon, , France

Site Status

Countries

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France

References

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Gobert F, Yonis H, Tapponnier R, Fernandez R, Labaune MA, Burle JF, Barbier J, Vincent B, Cleyet M, Richard JC, Guerin C. Predicting Extubation Outcome by Cough Peak Flow Measured Using a Built-in Ventilator Flow Meter. Respir Care. 2017 Dec;62(12):1505-1519. doi: 10.4187/respcare.05460. Epub 2017 Sep 12.

Reference Type DERIVED
PMID: 28900041 (View on PubMed)

Other Identifiers

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69HCL16_0495

Identifier Type: -

Identifier Source: org_study_id

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