Trial to Evaluate an Optimization Procedure of Alveolar Recruitment During Transport Performed by Nurse Anesthetists in Intensive Care

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

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-17

Study Completion Date

2023-12-22

Brief Summary

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Intra hospital transport of ICU patients is still at high risk of respiratory complications.We propose to determine if endotracheal tube clamping prior to disconnect ventilator allows to avoid oxygenation decrease.

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Detailed Description

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Changing respiratory support and multiples endotracheal tube disconnections may induce a loss of PEEP and finally lead to alveolar derecruitment. This study is an evaluation of a care procedure to limit the incidence of alveolar derecruitment in ventilated intubated ICU patients during transport for CT scan.

Intra hospital transport of ICU patients are performed by anesthesiologist nurses, the physician entrusts them this activity.

This is a randomized controlled study, the procedure is to clamp endotracheal tube before each disconnection from ventilator.

Conditions

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Respiratory Complication

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Control group

The transport will be released without a clamping of endotracheal tube before each disconnection from ventilator.

Group Type NO_INTERVENTION

No interventions assigned to this group

Clamping group

The transport will be released with a clamping of endotracheal tube before each disconnection from ventilator.

Group Type EXPERIMENTAL

Clamping of the ventilator endotracheal tube

Intervention Type PROCEDURE

The transport will be released in accordance with SFAR SRLF guideline. Before each disconnection from ventilator endotracheal tube will be clamped.

Interventions

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Clamping of the ventilator endotracheal tube

The transport will be released in accordance with SFAR SRLF guideline. Before each disconnection from ventilator endotracheal tube will be clamped.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* intensive care patient
* intubated, sedated, controlled assisted ventilation
* Intra hospital transport for CT scan
* arterial catheter
* the patient or his trusted person consent to the study