Decannulation of Tracheostomy Cannula Based on Suctioning Frequency and High-flow Oxygen Protocol in the Intensive Care Unit (DECAP-ICU)

Université de Sherbrooke

Status: Not yet enrolling

Conditions: Tracheostomy Weaning

Treatments: Procedure: Usual Care; Procedure: Suctioning based protocol

Study type: Interventional

Funder types: Other

Identifiers

NCT05778682

2022-4213

Details and patient eligibility

About

In the DECAP-ICU trial, the investigators will be focusing on the impact of a new weaning tracheostomy technique based on suctioning frequency compared to the standard practice of capping tolerance.

Enrollment: 50 estimated patients

Sex: All

Ages: 18 to 100 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Weaning from mechanical ventilation for at least 24 hours
• Randomisation must be done in 24 hours of the mechanical ventilation weaning.

Exclusion criteria

• Sabadell > 2
• Contraindication of decannulation : Glasgow Coma Scale <6, severe dysphagia, non permeable respiratory tracks, neuromuscular disease (expect for the ICU weakness) and long term tracheostomy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Suction based protocol

Experimental group

Description:

Weaning protocol based on suctioning frequency. Once the weaning of mechanical ventilation, the patients in this arm will be on high-flow nasal canula. The canula will be remove if the decannulation conditions are met (if the patient require less than 2 aspirations in 8 hours for 24 consecutive hours)

Treatment:

Procedure: Suctioning based protocol

Usual care

Other group

Description:

Usual care will mainly base on the capping trial.

Treatment:

Procedure: Usual Care