Actively Recruiting

Age: 18Years +
All Genders
NCT07073976

Evaluation of Right Ventricular Function to Predict Weaning Success in the Intensive Care Unit

Led by Kanuni Sultan Suleyman Training and Research Hospital · Updated on 2025-09-09

60

Participants Needed

1

Research Sites

50 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this prospective observational study is to evaluate whether right ventricular (RV) function parameters assessed via transthoracic echocardiography (TTE) can predict weaning success in adult intensive care unit (ICU) patients who are mechanically ventilated. The main questions it aims to answer are: Can the TAPSE (Tricuspid Annular Plane Systolic Excursion) value predict successful extubation? Do other right heart parameters (tricuspid S', RV-FAC, right atrial area, pulmonary valve acceleration time) provide additional prognostic value for weaning outcomes? Participants will: Be adult ICU patients planned for weaning from mechanical ventilation. Undergo transthoracic echocardiography within 2 hours after meeting clinical weaning criteria. Have the following echocardiographic parameters measured: TAPSE, tricuspid S', RV-FAC, right atrial area, and pulmonary valve acceleration time. Be monitored for 24 hours after extubation to assess weaning success (defined as no need for reintubation, non-invasive ventilation, or high-flow oxygen support).

CONDITIONS

Official Title

Evaluation of Right Ventricular Function to Predict Weaning Success in the Intensive Care Unit

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Receiving invasive mechanical ventilation in the ICU
  • Planned extubation (weaning) according to standard clinical criteria
  • Hemodynamically stable at the time of transthoracic echocardiography (TTE)
  • Ability to undergo echocardiographic assessment within 2 hours prior to extubation
  • Informed consent obtained from patient or legal representative
Not Eligible

You will not qualify if you...

  • Known severe tricuspid valve disease or congenital heart disease
  • Moderate to severe pericardial effusion or cardiac tamponade
  • Inadequate acoustic window for transthoracic echocardiography
  • Patients requiring urgent or unplanned extubation
  • Use of extracorporeal life support (e.g., ECMO) at the time of assessment
  • Known pulmonary embolism or acute cor pulmonale
  • Pregnancy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Health Science University İstanbul Kanuni Sultan Süleyman Education and Training Hospital

Istanbul, Istanbul, Turkey (Türkiye), 34303

Actively Recruiting

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Research Team

E

Engin ihsan Turan, principal investigator

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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