Oxygen Uptake in Weaning of Patients From Prolonged Mechanical Ventilation
Study Details
Study Description
Brief Summary
1.Research hypothesis: during weaning patient from prolonged mechanical ventilation, if the work load caused by weaning was below the patient's AT, oxygen uptake will be constant. Otherwise, if the work load was above the patient's AT, the oxygen uptake will increase.
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Patient: who have tracheostomy tubes and with prolonged mechanical ventilation
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Measurement: oxygen uptake(V̇O2) and respiratory mechanics during the spontaneous breathing trials
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Outcome: Correlation between the oxygen uptake(V̇O2) and the weaning outcome
2.Specific aims:
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to investigate the prognostic value of oxygen uptake in weaning patients from prolonged mechanical ventilation
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Subgroup analysis may suggest which weaning protocol potentially benefit the most for each population group (cardiovascular disease, chronic pulmonary disease, neuromuscular disease, cerebrovascular disease)
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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1/patients with tracheostomy tubes and prolonged MV use Patients who have tracheostomy tubes and with prolonged mechanical ventilation |
Outcome Measures
Primary Outcome Measures
- Measurement of oxygen uptake (V̇O2) [up to 12 hours during the spontaneous breathing trial]
oxygen uptake during the spontaneous breathing trial
Eligibility Criteria
Criteria
- Inclusion criteria:
Adult >20 y/o Total duration of mechanical ventilation ≥ 10 days Received tracheostomy Defervescence Meeting the criteria of weaning phase (see supplementary protocols)
- Exclusion criteria FiO2 >50 % Unstable hemodynamics Fever with active infection No spontaneous respiratory drive Dynamic airway collapse
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | National Taiwan University Hospital | Taipei | Taiwan | 100 |
Sponsors and Collaborators
- National Taiwan University Hospital
Investigators
- Principal Investigator: Yao-Wen Kuo, MD, National Taiwan University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 201710003RINB