Evaluation of an Informative Intervention to the ICU Team About the Presence of Asynchronies in Mechanically Ventilated Patients: Effect Over Incidence Reduction

Corporacion Parc Tauli

Status: Completed

Conditions: Asynchronies

Treatments: Behavioral: Daily asynchronies information

Study type: Interventional

Funder types: Other

Identifiers

NCT02714751

CIR2015/057

Details and patient eligibility

About

Mechanical ventilation (MV) if a life-support treatment for critically ill patients that can develop adverse effects. Patient-ventilator asynchronies can be present from the beginning of MV, it can be associated with poor outcome and it can develop clinical changes. The aim of this study is to evaluate if the knowledge of the presence of asynchronies by the healthcare team can help to reduce its incidence, improving outcomes of critically ill patients.

A prospective, single-center, before and after study will be conducted in the ICU of Hospital de Sabadell. The study will have 2 phases: a first observational period where the incidence of asynchronies will be assessed, and a second period where a daily information of the presence of asynchronies to the healthcare team will be done with the aim to reduce the incidence.

A continous record of asynchronies and clinical variables will be done during ICU stay.

Enrollment: 166 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Invasive mechanical ventilation < 24 hours.
• > 18 years-old

Exclusion criteria

• > 24 hours of invasive mechanical ventilation at admission.
• <48 hours of data collected
• Informed consent not obtained

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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166 participants in 2 patient groups

Observational group

No Intervention group

Group after information intervention

Other group

Description:

Control group after daily information to healthcare team

Treatment:

Behavioral: Daily asynchronies information