Impact of Spontaneous Breathing Trial Timing on Outcomes in Mechanically Ventilated Adult Patients
Rush University Medical Center
Summary
This study aims to explore how the timing of Spontaneous Breathing Trials (SBTs) affects recovery in adult patients who are on mechanical ventilation in the ICU. SBTs are tests used to determine if a patient is ready to breathe on their own without the help of a ventilator. The study will compare two different timing strategies for these trials: one group of patients will have the test early in the morning, while the other group will have it later in the morning. By observing the outcomes, such as how long patients need to stay on the ventilator, the study hopes to find the best time to perform these trials to help patients recover more quickly and safely.
Description
This study seeks to understand how the timing of Spontaneous Breathing Trials (SBTs) impacts the recovery of adult patients who are on mechanical ventilation in the Intensive Care Unit (ICU). Mechanical ventilation is a life-support technique used for patients who are unable to breathe on their own. The Spontaneous Breathing Trial is a key step in assessing whether a patient is ready to breathe independently and can safely have the ventilator removed. Currently, there is no universal standard for the best time of day to conduct these trials. Some hospitals perform SBTs early in the morning, w…
Eligibility
- Age range
- 21+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Adults aged 21 years or older. * Patients who have been on mechanical ventilation for more than 48 hours. * Patients who have completed at least one SBT. Exclusion Criteria: * Patients intubated at other hospitals. * Patients intubated for surgical or interventional procedures. * Patients receiving venovenous extracorporeal membrane oxygenation (VV-ECMO). * Patients with a tracheostomy.
Interventions
- OtherLater Morning Timing of Spontaneous Breathing Trials
Later Morning Group: Patients in this group will have their SBTs scheduled between 8:00 AM and 9:00 AM, closer to the time of day shift rounds.
Location
- Rush University Medical CenterChicago, Illinois