Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Identification of criteria associated with extubation failure of brain injured patients. Elaboration of a prognostic score of extubation failure of brain injured patients.
Prospective clinical study in ICU with brain injured ventilated patients eligible to extubation.
Identification of clinical and biological criteria associated with failure of extubation.
Elaboration of a prognostic score of extubation failure of brain injured patients, based on criteria previously identified with multivariate analysis.
Failure of extubation is defined by the need of re-intubation or the need for non-invasive ventilation within 48 hours or more after extubation.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| critical care |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| weaning trial of mechanical ventilation | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Failure of extubation defined by the need of reintubation or the need for non-invasive ventilation | - Failure of extubation defined by the need of reintubation or the need for non-invasive ventilation within 48 hours or during ICU stay | at day 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Severity scores (SAPS II, SOFA, GCS…) ) at patient admission in ICU | at ady 1 | |
| Cause of brain injury (traumatic, ischemic, hemorrhagic or post-operative) at patient admission in ICU | at day 1 | |
Not provided
Inclusion Criteria:
Exclusion Criteria:
• Status epilepticus
Not provided
Not provided
Not provided
brain injured patients
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Russell CHABANNE | University Hospital, Clermont-Ferrand | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Clermont-Ferrand | Clermont-Ferrand | 63003 | France |
Not provided
| ID | Term |
|---|---|
| D001930 | Brain Injuries |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Localisation of brain injury (hemispheric, supra- or sub-tentorial) at patient admission in ICU |
| at day 1 |
| Complete neurological examination (Glasgow score, Coma Recovery Scale, FOUR score, cough, brain stem reflexes) just before extubation | at day 1 |
| cardiologic history (cardiac insufficiency or ischemic cardiomyopathy) during ICU stay | at day 1 |
| - Pulmonary examination (arterial gasometry, ventilatory parameters: mode, frequency, positive end expiratory pressure, inspiratory pressure, tidal volume, minute ventilation, oxygen level) just before extubation | at day 1 |
| - Cause of extubation failure before 48 hours (respiratory, hemodynamic, aspiration, ...) | at day 2 |
| Delay of extubation from intubation day (number of days) | at day 1 |
| Glasgow Outcome Score (GOS) | at 6 months |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |