Comparison of Computer-Driven Protocolized Weaning With Physician-Directed Weaning in Surgical Intensive Care Unit (ICU) Patients
Since long-term mechanical ventilation is affiliated with a bunch of complications, weaning
affected patients from ventilation as soon as possible is a crucial point. In this context
automated computerized systems have become a torchbearer. These systems are expected to
expedite the weaning process, reduce the duration of mechanical ventilation and ICU length
of stay of a given patient in comparison to conventional physician-directed weaning. A
multicenter randomized trial by Lellouche et al supported these theories, using a
computer-driven system to regulate Pressure Support Ventilation (PSV). This system is now
commercially available as SmartCare/PS (Draeger Medical AG & Co. KG, Luebeck, Germany).
The purpose of the study on hand was to find out whether the results reported before could
be repeated in a broad, surgical ICU patient group. Study design was chosen similar. In
addition we investigated the workload for physicians and nurses in both study arms which has
not been conducted before.
Interventional
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
weaning duration
measured in days
No
Elke Muhl, Prof. Dr. med.
Principal Investigator
University of Luebeck
Germany: Federal Institute for Drugs and Medical Devices
Luebeck 0001
NCT00606788
November 2005
February 2007
Name | Location |
---|