Adult Patients Ventilated More Than 48 h, Arterial Line, Consent of Patients, Stable Respiratory and Hemodynamic Conditions for SBT
Conditions
Keywords
Weaning from mechanical ventilation, BNP, Lung ultrasound, Echocardiography
Brief summary
Prospective observational clinical multicentric study in ICU with ventilated patients requiring chest ultrasound analysis.
Detailed description
Prospective observational clinical multicentric study on ICU ventilated patients requiring chest ultrasound analysis during weaning from mechanical ventilation with 48 hours of follow-up. Studying variations of cardiac markers
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
\- Adult patients ventilated more than 48 h * Stable respiratory and hemodynamic conditions for SBT * Consent of patients * Arterial line
Exclusion criteria
* Laryngeal dyspnea * Tracheostomy * Arythmya * No echogenicity * Paraplegia \>T8
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Compare the change in pulmonary aeration during the test of weaning from mechanical ventilation (before, at the end, and 4-6 h after) between patients requiring re-ventilation before the 48th hour, and those weaned permanently. | before, at the end, and 4-6 h after | Compare the change in pulmonary aeration during the test of weaning from mechanical ventilation (before, at the end, and 4-6 h after) between patients requiring re-ventilation before the 48th hour, and those weaned permanently. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Studying variations, during weaning from mechanical ventilation, of pressure of left ventricle filling (E / Ea) coupled with those of plasma BNP. | in the 4-6 early hours | Studying variations, during weaning from mechanical ventilation, of pressure of left ventricle filling (E / Ea) coupled with those of plasma BNP. |
| Assessing the effects of E / Ea and BNP variations on the success or failure in the 4-6 early hours. | in the 4-6 early hours. | Assessing the effects of E / Ea and BNP variations on the success or failure in the 4-6 early hours. |
| Compare the variations of lung ultrasound score during the test of the weaning from mechanical ventilation between patients failed the spontaneous breathing test (SBT) and those extubated after successful SBT. | in the 4-6 early hours | Compare the variations of lung ultrasound score during the test of the weaning from mechanical ventilation between patients failed the spontaneous breathing test (SBT) and those extubated after successful SBT. |
| Comparison of levels epithelial and endothelial markers | at h0, h1, h4, h6 | — |
| Constitution serum bank for epithelial (sRAGE) markers dosages | at h0, h1, h4, h6 | — |
| constitution serum bank for endothelial (angiopoietin) markers dosages | at h0, h1, h4, h6 | — |
Countries
France
Contacts
University Hospital, Clermont-Ferrand