RecruitingNot ApplicableNCT05423301

Global Physiotherapy in ICU Patients With High Risk Extubation Failure

Impact of Global Physiotherapy on Acute Respiratory Failure Within 7 Days After Extubation in Intensive Care Unit Patients With High Risk of Extubation Failure.

Sponsor

University Hospital, Bordeaux

Enrollment

256 participants

Start Date

Oct 3, 2023

Study Type

INTERVENTIONAL

Conditions

Acute Respiratory Failure

Summary

This study aims to compare care provided by physiotherapists, combining respiratory care and early rehabilitation in intensive care unit, with standard care on the rate of acute respiratory failure within 7 days after extubation, in patients with high risk of extubation failure.

Eligibility

Min Age: 18 Years

Inclusion Criteria2

Patients with spontaneous ventilation weaning test.
Consent form signed by the person support.

Exclusion Criteria4

Patients with a self-extubation,
Patients with a tracheostomy,
Patients with acute respiratory failure for acute lung edema (OAP),
Patients with decision to limit or stop Active Therapeutics (LATA).

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Interventions

PROCEDUREExperimental

Respiratory care consists of manual and instrumental bronchial clearance techniques: Expiratory Flow Enhancement (EFE), suctioning, manual cough assist techniques, instrumental clearance techniques (suctioning and Cough Assist) and swallowing disorder management.)

PROCEDUREControl

The control group will receive early respiratory care and rehabilitation by nurses, nurses' aides and doctors until D7. Respiratory care includes aerosol therapy, oral and pharyngeal clearance with aspirations, verbal coughing and sputum removal, and possibly bronchial fibroscopy for clearance if necessary. Early rehabilitation consists of alternating postures in bed, passive chair positioning (patient lift), or active positioning via a bed rail and standing.