Correlation of Two Methods for Cough Peak Flow Measurement in Intubated Patients
NCT ID: NCT03357198
Last Updated: 2019-01-31
Study Results
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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COMPLETED
62 participants
OBSERVATIONAL
2017-12-08
2018-08-29
Brief Summary
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CPF requires disconnection of the patient from the ICU ventilator, supplemental material (handheld spirometer, antibacterial filter) and an excellent synchronization between the specialized caregiver and the patient.
We aimed that CPF with the ventilator built-in flow-meter is correlated with CPF using a handheld flowmeter connected to the endotracheal tube.
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Detailed Description
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Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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cough peak flow measurement
All enrolled patients will undergo measurement of cough peak flow by two methods, i.e. using a handheld electronic spirometer, and using the ventilator flowmeter, in a randomized order.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* Mechanically ventilated patient \> 24 hours
* Weaning ventilator phase (PEEP \< 9 cmH2O and Support \< 15 cm H2O)
* Richmond Agitation Sedation Scale between -1 and +1
* Patient's agreement to participate
Exclusion Criteria
* Bronchospasm
* FiO2 \> 70%
* Thoracic surgery \< 7 days
* Abdominal surgery \< 7 days
* Thoracic injury with rib fracture \< 21 days
* Pneumothorax \< 24 hours
18 Years
ALL
No
Sponsors
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Centre Hospitalier Régional d'Orléans
OTHER
Responsible Party
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Principal Investigators
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Guillaume FOSSAT
Role: PRINCIPAL_INVESTIGATOR
CHR Orléans
Locations
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CHR d'Orléans
Orléans, , France
Countries
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References
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Smina M, Salam A, Khamiees M, Gada P, Amoateng-Adjepong Y, Manthous CA. Cough peak flows and extubation outcomes. Chest. 2003 Jul;124(1):262-8. doi: 10.1378/chest.124.1.262.
Su WL, Chen YH, Chen CW, Yang SH, Su CL, Perng WC, Wu CP, Chen JH. Involuntary cough strength and extubation outcomes for patients in an ICU. Chest. 2010 Apr;137(4):777-82. doi: 10.1378/chest.07-2808. Epub 2010 Jan 22.
Macintyre NR. Evidence-based assessments in the ventilator discontinuation process. Respir Care. 2012 Oct;57(10):1611-8. doi: 10.4187/respcare.02055.
Thille AW, Richard JC, Brochard L. The decision to extubate in the intensive care unit. Am J Respir Crit Care Med. 2013 Jun 15;187(12):1294-302. doi: 10.1164/rccm.201208-1523CI.
Other Identifiers
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CHRO-2017-02
Identifier Type: -
Identifier Source: org_study_id
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