Optimal Timing for Spontaneous Breathing Trials

Rush

Status: Enrolling

Conditions: Weaning; Respiration, Artificial

Treatments: Other: Later Morning Timing of Spontaneous Breathing Trials

Study type: Interventional

Funder types: Other

Identifiers

NCT06561295

24081701

Details and patient eligibility

About

This study aims to explore how the timing of Spontaneous Breathing Trials (SBTs) affects recovery in adult patients who are on mechanical ventilation in the ICU. SBTs are tests used to determine if a patient is ready to breathe on their own without the help of a ventilator. The study will compare two different timing strategies for these trials: one group of patients will have the test early in the morning, while the other group will have it later in the morning. By observing the outcomes, such as how long patients need to stay on the ventilator, the study hopes to find the best time to perform these trials to help patients recover more quickly and safely.

Full description

This study seeks to understand how the timing of Spontaneous Breathing Trials (SBTs) impacts the recovery of adult patients who are on mechanical ventilation in the Intensive Care Unit (ICU). Mechanical ventilation is a life-support technique used for patients who are unable to breathe on their own. The Spontaneous Breathing Trial is a key step in assessing whether a patient is ready to breathe independently and can safely have the ventilator removed.

Currently, there is no universal standard for the best time of day to conduct these trials. Some hospitals perform SBTs early in the morning, while others wait until later in the morning when more staff are available. This study will compare two groups of patients: one group will have their SBTs early in the morning, and the other group will have them later.

The primary goal is to determine whether the timing of these trials affects how long patients need mechanical ventilation, how quickly they can be safely extubated (removal of the breathing tube), and overall recovery outcomes, such as ICU stay and hospital discharge.

Enrollment: 348 estimated patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults aged 21 years or older.
• Patients who have been on mechanical ventilation for more than 48 hours.
• Patients who have completed at least one SBT.

Exclusion criteria

• Patients intubated at other hospitals.
• Patients intubated for surgical or interventional procedures.
• Patients receiving venovenous extracorporeal membrane oxygenation (VV-ECMO).
• Patients with a tracheostomy.

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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348 participants in 2 patient groups

Early morning timing of spontaneous breathing trial

No Intervention group

Description:

Early Morning Group: Patients in this group will undergo their SBTs between 4:00 AM and 5:00 AM, following the traditional early morning schedule used in some ICUs.

Later morning timing of spontaneous breathing trial

Experimental group

Description:

Later Morning Group: Patients in this group will have their SBTs scheduled between 8:00 AM and 9:00 AM, closer to the time of day shift rounds.

Treatment:

Other: Later Morning Timing of Spontaneous Breathing Trials