RecruitingNot ApplicableNCT07559591

High Flow Tracheal Oxygen for Weaning of Tracheostomized Patients

High Flow Tracheal Oxygen for Weaning of Tracheostomized Mechanically Ventilated Patients: A Pilot Randomised Controlled Trial (HFTO WEAN Trial)


Sponsor

King Faisal Specialist Hospital & Research Center

Enrollment

88 participants

Start Date

May 17, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

In this pilot randomized controlled trial (RCT), the investigators aim to explore the feasibility of conducting a powered RCT that examines the efficacy and safety of high flow tracheal oxygen (HFTO) in weaning critically ill tracheostomy patients from mechanical ventilation. Objective of the study 1. To assess the feasibility of conducting a larger RCT as primary objective. 2. To explore the effect of using HFTO in mechanically ventilated tracheostomized critically ill patients on ventilator-free days (VFD) compared to standard of care method using tracheal mask (TM) as secondary objective.


Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Adults ≥ 18 years of age
  • Intensive care unit (ICU) patients with tracheostomy inserted during the index ICU admission.
  • Mechanically ventilated for ≤60 days.
  • Successful spontaneous breathing trial for 1 hour.

Exclusion Criteria5

  • Planned tracheostomy post head and neck surgery with ICU stay less than 48 hours
  • Patient transferred from another hospital only if the intubation and tracheostomy dates are unavailable, otherwise would be eligible.
  • Patient with an imminent plan for palliation and comfort care.
  • Patient or substitute decision-maker declines consent to the study.
  • The treating physician declines consent to the study.

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Interventions

DEVICEHigh-flow tracheal oxygen (HFTO)

High-flow tracheal oxygen for weaning tracheosstomized mechanically ventilated patients

DEVICETracheal Mask (TM)

Standard of care using tracheal mask (TM) oxygen for weaning tracheostomized mechanically ventilated patients


Locations(1)

King Faisal Specialist Hospital and Research Centre

Riyadh, Saudi Arabia

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NCT07559591


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