A Cluster Randomized Trial to Improve Weaning and Extubation From Mechanical Ventilation in Community Hospitals

Lawson Health Research Institute

Status and phase

Completed

Phase 3

Conditions

Respiration, Artificial

Treatments

Procedure: Evidence based weaning protocol

Study type

Interventional

Funder types

Other

Identifiers

NCT00157287

R-01-076

Details and patient eligibility

About

Protocol directed weaning has been shown to reduce the duration of mechanical ventilation for patients admitted to the intensive care unit (ICU) of tertiary centres. However, this benefit has not previously been studied in a community hospital setting. We therefore sought to evaluate the impact of an evidence-based weaning guideline on the outcomes for patients receiving mechanical ventilation in the ICUs of community hospitals in a cluster randomized controlled trial involving 11 community hospitals.

Sex

All

Ages

16+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

patients ventilated for more than 24 hours

Exclusion criteria

patients less than 16 years of age patients who receive only non-invasive ventilation patients chronically ventilated at time of ICU admission patients who will not be candidates for weaning from ventilation at time of admission If withdrawl of life support is imminent at the point the patient has been ventilated for 24 hours