Noninvasive ventilation (NIV) weaning strategies differ considerably from one another. These strategies have yet not been compared to each other. Therefore, the investigators planned to perform a prospective, randomized, pilot study involving hypercapnic acute respiratory failure patients ready to be weaned off from NIV. The investigators are going to compare the success rate of NIV weaning and the duration of NIV after randomization between 3 NIV weaning methods: gradual decrease in duration of NIV or level of ventilator support, and abrupt discontinuation of NIV.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
197
3 protocols for weaning of noninvasive ventilation will be compared
San Donato Hospital
Arezzo, Italy
Bologna University
Bologna, Italy
Milan University
Milan, Italy
Cukurova University
Adana, Turkey (Türkiye)
The comparison of total duration of NIV after randomization
The patients will be considered as 'weaning failure' if: * The participant will meet the NIV reinstitution or intubation criteria during the weaning phase or within the first 5 days of NIV discontinuation * Weaning from NIV was not possible If the failing patient stabilizes afterwards and passes the screening and weaning criteria, the patient will be weaned again with the same protocol. If the patient fails weaning trials 3 times, then the patient will not be re-considered for further enrollment.
Time frame: up to 10 days
Rate of NIV re-institution
Time frame: 10 days of NIV discontinuation
NIV weaning success rates
Time frame: 10 days of NIV discontinuation
Duration of ICU stay
Time frame: up to 24 weeks
Rates of intubation
Time frame: first 5 days of NIV discontinuation
In-hospital mortality
Time frame: up to 24 weeks
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Sureyyapasa Center for Chest Diseases and Thoracic Surgery Training and Investiagation Hospital
Istanbul, Turkey (Türkiye)
Baskent University
Istanbul, Turkey (Türkiye)
Marmara University
Istanbul, Turkey (Türkiye)
Dokuz Eylul University
Izmir, Turkey (Türkiye)