Not Yet RecruitingPhase 1ACTRN12605000265673
A Randomised Controlled Trial of an Expert Weaning System (SmartcareTM) versus Usual Ventilatory Management in Critical Illness
Sponsor
The Intensive Care Unit of The Royal Melbourne Hospital
Enrollment
222 participants
Start Date
Feb 6, 2006
Study Type
Interventional
Conditions
Eligibility
Sex: Both males and females
Inclusion Criteria1
- Patient ventilated on non-spontaneous mode for 24 hoursPaO2/FiO2 > 150 or SaO2 90% with FiO2 .9PEEP 8cm H2OHemodynamically stable (Noradrenaline or Adrenaline less than 1 mg/hr)Body Temperature 36-39° CGlasgow coma score >4Stable neurological statusNo immediate requirements for transport or surgeryPass 30-minute pressure support testSmartcareTM enabled ventilator available for use.
Exclusion Criteria1
- Patients with central nervous system disorders (e.g. stroke meningitis, cardiac arrest with neurologic sequelae) or neuromuscular disease (Guillain-Barre syndrome, myasthenia gravis).
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Interventions
Patients receiving mechanical ventilation for greater than 24 hours who meet the eligibility criteria will be randomised to receive weaning either by the usual care methods existing in the unit or via
Patients receiving mechanical ventilation for greater than 24 hours who meet the eligibility criteria will be randomised to receive weaning either by the usual care methods existing in the unit or via the SmartcareTM expert weaning system available on the Drager XL ventilators until they are ready for extubation.
Locations(1)
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ACTRN12605000265673