Actively Recruiting

Age: 30Days - 18Years
All Genders
NCT06557941

Risk Factors of Extubation Failure in PICU Patients

Led by Sohag University · Updated on 2024-08-16

100

Participants Needed

1

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Up to 20% of MV patients experience EF \[10\]. EF is defined as the need to reinsert the endotracheal tube to resume MV in patients extubated for less than 48 hours. It has high rates of morbidity and mortality, prolongs the duration of MV and thus causes a longer stay in the PICU and risk of complications such as the need for tracheostomy, the incidence of pneumonia and pulmonary damage, and finally, costs increase as well and death \[10, 11\] .

CONDITIONS

Official Title

Risk Factors of Extubation Failure in PICU Patients

Who Can Participate

Age: 30Days - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patient is less than 18 years old and admitted to PICU
  • Patient has been on mechanical ventilation through an endotracheal tube for more than 12 hours
  • Patient meets weaning criteria including evidence of reversal of respiratory failure cause, adequate oxygenation (PaO2/FIO2 ratio ≥ 200, FIO2 ≤ 0.40, PaO2 ≥ 60, PaCO2 ≤ 60, PEEP ≤ 5 cmH2O), pH ≥ 7.25, respiratory rate ≤ 45 bpm, heart rate ≤ 140 bpm, rapid shallow breathing index (RSBI) ≤ 8 breaths/min/ml/kg
  • Patient is hemodynamically stable with no or minimal vasopressors or inotropes
  • Patient has appropriate level of consciousness, no continuous sedation infusion or neuromuscular blockers, is afebrile, has hemoglobin ≥ 7.5 g/dl and no evidence of hemorrhage
Not Eligible

You will not qualify if you...

  • Patient is younger than 30 days old
  • Patient has a tracheostomy
  • Patient died while on mechanical ventilation within 12 hours
  • Patient had unplanned extubation

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

Sohag University Hospitals

Sohag, Egypt

Actively Recruiting

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Research Team

M

mariam raafat helmy, postgraduate

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

2

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