Systolic Function and Weaning-induced Pulmonary Edema (SystoWean Study)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorCentre Hospitalier Universitaire de Nice

About this trial

The purpose of this study is to determine if the left and right ventricular systolic function is involved in the development of weaning failure related to weaning-induced pulmonary edema.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Invasive mechanical ventilation for more than 48 hours

SpO2> 90% with FiO2 ≤40% and PEEP ≤5 cmH2O

Cough effectiveness on tracheal aspirations

Lack of hemodynamic instability and of disorders of consciousness

Disqualifiers

Age <18 years and pregnant women

Patients with a decision of not to resuscitate

Poor echogenicity

Severe mitral valve disease (leakage and/or stenosis, bioprosthesis)

Trial design

Design model

Single group

Treatments tested in this trial

  • Spontaneous breathing trial

    Procedure/Surgery

    To perform cardiac and lung echography before and during a spontaneous breathing trial

Treatment groups

250 Participants
are divided into 1 treatment group
Group A: high-risk of weaning-induced pulmonary edemaOther 1 intervention

Trial outcomes

Primary outcomes

1

Proportion of patients experiencing left and/or right ventricular

Left ventricular systolic function will be assessed by several

Time frame
24 months

Secondary outcomes

1

Proportion of patients experiencing a weaning-induced pulmonary

WiPO is defined by new acute respiratory failure during spontaneous

Time frame
24 months
2

Clinical and echocardiographic predictors of weaning-induced

To test the ability of different clinical and echocardiographic

Time frame
24 months

Other outcomes

Sponsors and contacts

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