A Phase 4 interventional study of Common canister in Ventilator Associated Pneumonia, sponsored by Barnes-Jewish Hospital. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-10-07.
Sponsored by Barnes-Jewish Hospital · Phase 4, Interventional, and Treatment
Many hospitals employ a common canister inhaler protocol in patients that do not require mechanical ventilator support. Common canister refers to a single inhaler paired with standardized cleaning methods for use on more than one patient. Small reports suggest that this method does not pose an increased infectious risk and is associated with significant cost savings.
Common canister protocols offer a solution to the discordance between inhaler sizes and average inpatient use of the drugs. Metered dose inhaler canisters are contain enough drug for several days to weeks of daily use. However, the average length of stay for most inpatients is only several days. Therefore, most inpatients do not use all of the canister contents, an unused resource that is potentially wasted.
The common canister approach has not been previously described in mechanically ventilated patients (people requiring intensive care unit admission on breathing machines). This study aims to assess the safety of common canister utilization by assessment and comparison of infection rates in the study and control group.
405 studies on the registry are indexed under Pneumonia, Ventilator-Associated; 85 are open to participants now.
This study's enrollment of 354 is above the median of 120 across 264 interventional studies indexed under Pneumonia, Ventilator-Associated.
Browse Pneumonia, Ventilator-Associated studies →Barnes-Jewish Hospital is the lead sponsor of 7 studies on the registry; none are open to participants now.
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Exclusion Criteria:
Use of a single MDI (instead of assigning each patient an individual MDI) for multiple mechanically ventilated patients. Inhalers will undergo a stringent cleaning protocol between administrations and storage.
Other: Common canister
Each patient will be assigned an individual inhaler as per standard of care practice.
Drug administration via a shared canister with a standardized cleaning protocol.
Ventilator-associated pneumonia (VAP)
Pneumonia that developed in association with mechanical ventilation
Time frame: 48 hours after intubation
Inhaler drug cost
Inhaler charges accrued during mechanical ventilation
Time frame: During period of mechanical ventilation, which varies depending on patient's severity of illness and reason for intubation; on average may range from 3-5 days.
This study is completed, as verified in Oct 2016. You cannot join it, but the record below documents what was studied.
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Pneumonia, Ventilator-Associated →
Barnes-Jewish Hospital