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

Université de Sherbrooke50 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Tracheostomy Weaning

Interventions

Suctioning based protocolPROCEDURE

cf. arm The necessity of suctioning will be assed continuously by the nurses, respiratory therapist and the medical team. If the patient require 2 or less aspiration each 8 hours for 24 hours straight, an attempt of decanalution will be done.

Usual CarePROCEDURE

Usual care in our center is tolerance to a capping trial.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

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.

Locations (1)

Université de Sherbrooke

Sherbrooke, Quebec, Canada

Outcomes

Primary Outcomes

Time to decannulation

Time between the randomisation and the decannulation

Time frame: Frome date of randomisation to the date of the actual decannulation or to the date of death, whichever comes first, assessed up to 48 months.

Secondary Outcomes

Time to decannulation criteria

Time between the randomisation and the criteria of decannulation

Time frame: From date of randomisation to the date when the criteria of decannulation are met or to the date of death, whichever comes first, assessed up to 48 months.

Length of stay ICU

Lenght of stay in the ICU.

Time frame: From admission to the date when the patient quit the ICU, through study completion, average of 6 to 12 months.

Length of stay hospital

Length of stay in the hospital

Time frame: From admission to the date when the patient is discharge of the hospital, through study completion, average of 6 to 12 months.

ICU readmission

Time frame: Through study completion, average of 6 to 12 months.

Decannulation failure

Necessity of reimplantation of a tracheostomy after the decannulation

Time frame: Through study completion, average of 6 to 12 months.

Mechanical Ventilation weaning failure

Necessity of starting mechanical ventilation once the randomisation is started

Time frame: Through study completion, average of 6 to 12 months.

Data from ClinicalTrials.gov

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