Clinical Practices of Extubation After Invasive Mechanical Ventilation
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Mechanical Ventilation, Extubation, Anesthesia, Critical Care, Intensive Care. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Clinical Practices of Extubation After Invasive Mechanical Ventilation in Anesthesia and Intensive Care
Overview
Extubation is a delicate and complex phase of airway management in anesthesia and critical care. A variety of complications are of concern, ranging from transient hypoxemia to the need for reintubation, which can then become life-threatening for the patient. For this procedure, it may be recommended to use the positive end-expiratory pressure (PEEP) extubation technique to reduce the risks of hypoxemia, atelectasis, and aspiration. However, no specific technique is preferred given the diversity of described procedures (spontaneous ventilation on an auxiliary circuit, PEEP-assisted spontaneous ventilation, adjustment of the APL valve). However, results may vary depending on the patient population (children, adults) and the setting (operating room, intensive care unit). Given the lack of a preferred technique for performing extubation under positive end-expiratory pressure, the aim of this study is to describe the techniques used by healthcare professionals (physicians, nurse anesthetists, nurses) during the extubation of a surgical or intensive care patient.
Primary outcome measures
- Extubation technique [Time frame: baseline]
Eligibility criteria
Inclusion criteria
- Physicians and students in anesthesiology and critical care,
- Critical care physicians,
- State-certified nurse anesthetists (IADE),
- State-certified nurses (IDE) working in an anesthesia or intensive care team
- Students (medical or nurse anesthetist) with at least 1 year of extubation experience.
Exclusion criteria
- Healthcare professionals with no experience in extubation (less than one year of practice) Refusal to participate
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Cohort
Study locations
France · 1 center
- CHU de Nîmes — Nîmes
Identifiers
NCT: NCT07554586 · IRB_26.04.01