Heartbeat clues may help doctors decide when to pull the plug on ventilators
NCT ID NCT07455214
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether heart rate variability (small changes in heartbeat timing) can help doctors decide the best time to remove a breathing tube from critically ill patients. About 100 adults on ventilators will have their heart signals and standard weaning tests combined into a new prediction model. The goal is to reduce failed extubations and improve outcomes like days off the ventilator and ICU stay length.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Aug 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
This study will recruit participants from the Intensive Care Unit (ICU) of Fu Jen Catholic University Hospital, including the Medical Intensive Care Unit, Surgical Intensive Care Unit, and Respiratory Care Center.
- Ages
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18 to 85 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age between 18 and 85 years. * Received mechanical ventilation for more than 24 hours and clinically assessed as ready for a Spontaneous Breathing Trial (SBT). * Stable ECG signal quality before extubation, meeting the basic requirements for HRV analysis. * Obtained informed consent from the patient or their legal representative, and agreed to participate in this study and cooperate with the 72-hour follow-up after extubation. Exclusion Criteria: * Individuals with permanent pacemakers, defibrillators, or other devices that affect monitoring data. * Individuals on continuous deep sedation (RAS ≤ -4) and unable to regain consciousness in the short term. * Individuals with severe arrhythmias or unstable cardiovascular conditions that prevent reliable HRV analysis. * Individuals with cognitive impairment or mental illness that prevents them from cooperating with the research process, or individuals deemed unsuitable for participation in this study by their clinicians.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Fu Jen Catholic University Hospital
RECRUITINGNew Taipei City, Taiwan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Mapping the waking brain: how ICU patients emerge from sedation
- Heart scans reveal best breathing test for ICU patients
- New score could prevent dangerous breathing tube failures in ICU patients
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