Effectiveness of the Routine Use of Extubation Protocol on the Incidence of Occurrence of Failures Number of Extubation in Pediatric Resuscitation

Status

UNKNOWN

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT03129815

Enrollment

Registered

2017-04-26

Start date

2016-07-31

Completion date

2017-07-31

Last updated

2017-05-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Respiratory Insufficiency

Keywords

extubation, pediatric resuscitation, reintubation, failures of extubation.

Brief summary

The failure of extubation in pediatric resuscitation is most often described as the need for reintubation within 48 hours after extubation. The failure rate of extubation in pediatric intensive care varies in the literature there is between 4 and 22% failures. These failures result in increased mortality, morbidity with a use of larger tracheostomy, a prolonged residence time. The extubation is codified in adult resuscitation and tends to be increasingly in pediatric resuscitation. In the pediatric intensive care unit of Hautepierre, a extubation protocol already exists for some time, and was prepared to go. the current literature data. It allows the harmonization of practices in service (previously left to the discretion of each doctor). The investigators are looking to see if the protocol used systematically in the service enables a reduction in the incidence of occurrence of failures of extubation.

Interventions

None listed

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

No minimum to 18 Years

Healthy volunteers

Inclusion criteria

* Children hospitalized in pediatric intensive care, under 18 years, intubated, ventilated for more than 2 hours and for which planning extubation or intubated children for whom an unplanned extubation just happened. * Children whose holding parental authority are not opposed to the use of clinical data from their child for research purposes.

Exclusion criteria

* Refusal to participate in the study

Design outcomes

Primary

Measure	Time frame
Failure of extubation	need for a new intubation within the first 48 hours after extubation

Countries

France

Contacts

Primary ContactAnne-Sophie Guilbert, MD

anne-sophie.guilbert@chru-strasbourg.fr33 (0)3 88 12 73 20

Backup ContactLucie PETITDEMANGE

lucie.petitdemange@chru-strasbourg.fr33 (0)3 88 12 73 20

Outcome results