Weaning From Mechanical Ventilation in Patients With Acute Brain Injury

NCT ID: NCT06542107

Last Updated: 2025-11-18

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

RECRUITING

Total Enrollment

406 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-08-06

Study Completion Date

2025-12-31

Brief Summary

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Acute brain injury (ABI) patients frequently necessate intubation and invasive mechanical ventilation (IMV). While some ABI patients are capable of breathing spontaneously, which is one of the main criteria of extubation and weaning. However, the rate of extubation failure was significantly higher in ABI patients compared with non-neurological critical care patients. In patients who have failed one or several trials of extubation, tracheostomy is recommend according to the latest ESICM consensus. Tracheostomy can enhance comfort, improve pulmonary hygiene and decrease sedation requirement, which could facilitate the liberation from ventilator.

Numerous studies have explored the causes of weaning failure and provide various predictive models in guiding extubation and tracheostomy. Yet, due to limitations of such as small sample size or a lack of external validation, there is paucity of practical weaning algorithm tailored for ABI patients. The liberation from IMV in ABI patients still remains challenging with poor level of evidence in current guidelines or expert consensus.

We aim to describe the weaning outcomes in ABI patients, and further investigate the potential predictors of weaning success in ABI patients.

Detailed Description

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Conditions

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Ventilator Lung Acute Brain Injury

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* acute brain injury
* age \>=18 years
* invasive mechanical ventilation for at least 24 hours

Exclusion Criteria

* tracheostomized before ICU admission
* pregnant or lactation
* with cervical spinal cord injury
* decision to receive palliative care within 24 hours of ICU admission
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Southeast University, China

OTHER

Sponsor Role lead

Responsible Party

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Ling Liu

Director of Intensive Care Unit, Principal Investigator, Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ling Liu

Nanjing, Jiangsu, China

Site Status RECRUITING

Department of Critical Care Medicine, Zhongda Hospital

Nanjing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ling Liu, PHD

Role: CONTACT

86+83262553

Facility Contacts

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Ling Liu

Role: primary

Ling Liu

Role: primary

86+83262553

Rui Zhang, MD

Role: backup

86+17327796261

Other Identifiers

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WEAN ABI

Identifier Type: -

Identifier Source: org_study_id

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