Tracheostomy Weaning Protocol for Intensive Care Patients
(DECAP-ICU Trial)

Recruiting in Palo Alto (17 mi)

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Université de Sherbrooke

No Placebo Group

Trial Summary

What is the purpose of this trial?This trial is testing a new method to help ICU patients with breathing tubes breathe on their own. The new technique adjusts the cleaning schedule of their airways, compared to the usual method of seeing how long they can tolerate having their breathing tube closed. The goal is to find a more effective way to transition these patients from mechanical ventilation to independent breathing.

Eligibility Criteria

This trial is for patients in the ICU who have been weaned off mechanical ventilation for at least a day and are ready within 24 hours to try decannulation. It's not suitable for those with severe conditions like a high Sabadell score, low Glasgow Coma Scale, blocked airways, long-term tracheostomy needs, serious swallowing issues, or certain neuromuscular diseases.

Inclusion Criteria

Randomisation must be done within 24 hours of the mechanical ventilation weaning.

I have been off a breathing machine for at least 24 hours.

Exclusion Criteria

I do not have severe swallowing issues, a blocked airway, certain muscle diseases, or a long-term breathing tube in my neck.

Sabadell score > 2

Participant Groups

The DECAP-ICU trial compares two methods of removing tracheostomy tubes: one based on how often suctioning is needed (new technique) versus the usual way which relies on how well patients tolerate having their tube capped.

2Treatment groups

Experimental Treatment

Group I: Usual careExperimental Treatment1 Intervention

Usual care will mainly base on the capping trial.

Group II: Suction based protocolExperimental Treatment1 Intervention

Weaning protocol based on suctioning frequency. Once the weaning of mechanical ventilation, the patients in this arm will be on high-flow nasal canula. The canula will be remove if the decannulation conditions are met (if the patient require less than 2 aspirations in 8 hours for 24 consecutive hours)