Weaning From Mechanical VentilationWeaning FailureWeaning From Mechanical Ventilation, Extubation
Study summary
This is a prospective observational study to be conducted in intensive care units of Global South countries. Patients on mechanical ventilation for more than 12 hours who have initiated the weaning process and for whom the attending team plans extubation within the next 6 hours will be included. Data will be collected for each patient during the first 7 days after extubation, with follow-up until hospital discharge or death. We plan to conduct the study in intensive care units from Global South countries (low- and middle-income countries predominantly located in the Southern Hemisphere, though some in the Northern Hemisphere are also considered).
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Age \> 18 years.
* Receiving care at an intensive care unit.
* Endotracheal intubation.
* Mechanical ventilation for 12 hours or more.
* First separation attempt, as defined in the WIND Classification - "Separation attempt from mechanical ventilation: an spontaneous breathing trial with or without extubation, or an extubation directly performed without identified spontaneous breathing trial (whatever the type: planned or unplanned extubation)" - planned to occur in the next 6 hours or that occurred less than 2 hours ago.
Exclusion Criteria:
* Patients with prior extubation failure.
* Patients with prior spontaneous breathing trial failure.
* Patients unable to obey commands.
* Neuromuscular disease or cervical spinal cord injury.
* Tracheostomy.
* Do-not-resuscitate order or contraindication for reintubation.
* Lack of informed consent.
* Terminal extubation.
* Previously included in the study.
Primary outcome measure(s)
Extubation failure within 7 days. — 7 days. Defined as reintubation or death within 7 days after extubation.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time.
