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Enhancing Utilization of Non-Invasive Positive Pressure Ventilation in Critical Care

The recruitment status of this study is unknown because the information has not been verified recently.
Verified May 2012 by Tufts Medical Center.
Recruitment status was  Active, not recruiting
Sponsor:
Information provided by (Responsible Party):
Tufts Medical Center
ClinicalTrials.gov Identifier:
NCT00458926
First received: April 9, 2007
Last updated: May 30, 2012
Last verified: May 2012
  Purpose

Non-invasive positive pressure ventilation (NIV) refers to the provision of mechanical ventilation without an artificial airway (for example, an endotracheal tube). Over the past decade, evidence from randomized control trials has accumulated to demonstrate effectiveness of the technique in avoiding intubation, reducing complications associated with intubation, shortening ICU and hospital lengths of stay, and reducing mortality rates in selected patients with acute respiratory failure. However, NIV is still underutilized at many medical centers. The purposes of this project will be to acquire information related to NIV use, to identify reasons for underutilization, to implement interventions that encourage more appropriate use of NIV, and to evaluate the effectiveness of the interventions. Reliable information on NIV use as well as analysis of reasons for underutilization will provide insight into ways of enhancing NIV use. We will determine utilization rate, technology used, patient diagnoses, duration of ventilator use and hospital stay, and success rates as recorded on case report forms (CRFs). After completing the survey, we will provide an educational program to randomly selected institutions (one-half of the total) aimed at increasing the knowledge and skill of physicians, nurses, and therapists regarding use and implementation of NIV. Data will be gathered for a second round with the same data-gathering instruments used during


Condition
COPD
Congestive Heart Failure
Asthma
Respiratory Distress Syndrome, Adult
Pneumonia

Study Type: Observational
Study Design: Observational Model: Case Control
Time Perspective: Prospective
Official Title: Enhancing Utilization of Non-Invasive Positive Pressure Ventilation in Critical Care

Resource links provided by NLM:


Further study details as provided by Tufts Medical Center:

Estimated Enrollment: 800
Study Start Date: November 2003
Estimated Study Completion Date: December 2012
  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Patients 18 years of age or older who require mechanical ventilation.

Criteria

Inclusion Criteria:

  • Starting on mechanical ventilation (including: invasive, noninvasive, CPAP or BiPAP for purpose of treatment of respiratory failure)
  • 18 years of age or older

Exclusion Criteria:

  • Use of home mechanical ventilation, including nocturnal ventilation, continuous mechanical ventilation,BiPAP.
  • Continuous use of CPAP or BiPAP for treatment of obstructive sleep apnea.
  • Placed on mechanical ventilation for purposes of surgical anesthesia or use of anesthesia for a diagnostic procedure.
  • Patient has tracheostomy or was intubated endotracheally prior to admission.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00458926

Locations
United States, Massachusetts
Tufts Medical Center
Boston, Massachusetts, United States, 02111
Sponsors and Collaborators
Tufts Medical Center
Investigators
Principal Investigator: Nicholas S. Hill, MD Tufts Medical Center
  More Information

Additional Information:
No publications provided by Tufts Medical Center

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Tufts Medical Center
ClinicalTrials.gov Identifier: NCT00458926     History of Changes
Other Study ID Numbers: 6742
Study First Received: April 9, 2007
Last Updated: May 30, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by Tufts Medical Center:
ventilation, mechanical
intubation, endotracheal
respiratory insufficiency

Additional relevant MeSH terms:
Acute Lung Injury
Heart Failure
Respiratory Distress Syndrome, Adult
Respiratory Distress Syndrome, Newborn
Cardiovascular Diseases
Heart Diseases
Infant, Newborn, Diseases
Infant, Premature, Diseases
Lung Diseases
Lung Injury
Respiration Disorders
Respiratory Tract Diseases

ClinicalTrials.gov processed this record on November 27, 2014