Respiration, Artificial
Conditions
Keywords
mechanical ventilation, epidemiology, intensive care unit, national survey
Brief summary
The mechanical ventilation strategy has changed over years worldwide. Several international researches have been conducted to study the association of the use of mechanical ventilation with clinical outcomes. In this prospective, multicenter, cross-sectional survey, the practice of mechanical ventilation among patients with severe brain injury will be investigated in 70 intensive care units in China.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. older than 18 years 2. with severe brain injury (including severe traumatic brain injury, ischemic stroke, subarachnoid hemorrhage, spontaneous intracerebral hemorrhage, hypoxic-ischemic encephalopathy, intracranial tumor, intracranial infection and idiopathic epilepsy) 3. mechanical ventilated for at least 24 hours before the time of on-spot survey
Exclusion criteria
1. undergoing a spontaneous breathing trial (SBT) at the time of on-spot survey 2. underwent at least once SBT in the preceding 24 hours before time of on-spot survey 3. enrolled in another trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients receiving control and assist mode of mechanical ventilation | During 1 hour of on-spot survey | Control mode is defined as volume or pressure control ventilation. Assist mode is defined as synchronized intermittent mandatory ventilation and pressure support ventilation. |
Secondary
| Measure | Time frame |
|---|---|
| The settings of tidal volume, inspiratory pressure, and positive end-expiratory pressure in enrolled patients | During 1 hour of on-spot survey |
| Duration of mechanical ventilation | 60 days after on-spot survey |
| Number of patients liberated from mechanical ventilation | 60 days after on-spot survey |
| Neurological outcome by Glasgow Outcome Scale | 60 days after on-spot survey |
Countries
China