An observational study in Weaning Failure, sponsored by Qingdao University. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-04-11.
Sponsored by Qingdao University · Observational
Neurocritical patients often face the need for removal of endotracheal tubes. However, despite following the extubation criteria for general critical ill patients, neurocritical patients still exhibit a higher rate of weaning failure, significantly higher than that of general critical ill patients. The extubation criteria for general critical patients emphasize the assessment of lung conditions. However, neurological critical patients often have less severe lung damage, but factors such as consciousness level and coughing ability may significantly influence extubation. Quantitative EEG serves as an objective tool to reflect consciousness level status, while bedside ultrasound can assess respiratory muscle function. Additionally, sputum volume may reflect the condition of lung condition. Therefore, we believe that combination of these three indicators can better predict the success of extubation for neurocritical patients.
Qingdao University is the lead sponsor of 22 studies on the registry; 4 are open to participants now.
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The population in this study focused on neurocritical patients with endotracheal intubation. The data of quantitative EEG, beside ultrasound and sputum volume are all recorded for predicting weaning failure.
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The population in this study focused on neurocritical patients with endotracheal intubation. The data of quantitative EEG, beside ultrasound and sputum volume are all recorded for predicting weaning failure.
Other: Quantitative EEG monitoring and beside ultrasound evaluation
After successful spontaneous breathing trial, neurocritical patients undergo at least 2 hours of quantitative EEG monitoring before extubation. Additionally, bedside ultrasound assesses the thickness and variability of the diaphragm, intercostal muscles, rectus abdominis, transversus abdominis, and external oblique muscles. The sputum volume for the 24 hours prior to extubation is also recorded. Reintubation within 48 hours after extubation is defined as weaning failure.
Quantitative EEG indicators
These indicators including amplitude EEG and the proportion of α，β，δ，θ wave
Time frame: 2 hours before extubation
Respiratory muscles thickness in centimeter
Muscle thickness was evaluated by ultrasound.
Time frame: 2 hours before extubation
Respiratory muscles thickening fraction (%)
Muscle thickening fraction was evaluated by ultrasound. It equals (end-inspiratory thickness - end-expiratory thickness)/end-expiratory thickness × 100%.
Time frame: 2 hours before extubation
Sputum volume in milliliter
The amount of sputum
Time frame: 24 hours before extubation
No study locations are listed for this record.
Plan to share: Undecided
Start is estimated for Apr 2024; primary completion for Apr 2025, 12 months later.
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This study is not yet recruiting, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.
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Qingdao University