Mechanical Ventilation in the Emergency Department: A Prospective Cross-Sectional Study

The Washington University

Status: Completed

Conditions: Respiratory Failure; Acute Lung Injury; Mechanical Ventilation

Treatments: Other: For inclusion in the study, patients will have to require mechanical ventilation either via an endotracheal tube or tracheostomy tube.

Study type: Observational

Funder types: Other

Identifiers

NCT01628523

201205165

Details and patient eligibility

About

Despite its life-saving potential, the mechanical ventilator has great potential to do harm. Despite years of research, the mortality in acute lung injury (ALI) remains very high. Treatment options after ALI onset are very limited, therefore prevention may be the best option. Unfortunately, the emergency department has not been studied with respect to mechanical ventilation practices, and its contribution to ALI is unknown. The investigators hypothesize that mechanical ventilation is frequently used in the ED and for a variety of reasons, and that ED mechanical ventilation has an effect on long term outcomes.

Enrollment: 219 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Ventilation either via an endotracheal tube or tracheostomy

Exclusion criteria

• Non-invasive positive pressure ventilation;
• Death in the immediate post-intubation phase of care;
• Chronic ventilator-dependence, either at home or extended care facility.

Trial design

219 participants in 1 patient group

All ED patients requiring mechanical ventilation

Treatment:

Other: For inclusion in the study, patients will have to require mechanical ventilation either via an endotracheal tube or tracheostomy tube.