Breathing trial showdown: which method helps ICU patients breathe on their own?
NCT ID NCT04222569
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at three different breathing tests (spontaneous breathing trials) used to see if ICU patients are ready to have their breathing tube removed. Researchers measured how hard patients had to work to breathe during each test. The goal was to find which test works best for different types of patients. The study was stopped early, so the results are not complete.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help doctors choose the best breathing test for each patient, making it easier and safer to remove breathing tubes.
- What could go wrong
- The study was terminated early, so results are limited. It was also small and focused on specific patient profiles, so findings may not apply to everyone.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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117 people
The number who actually took part.
- Started
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Jun 2020
- Finished
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Jun 2023
- 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.
- Ages
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18 years and older
- 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: * ICU patient with invasive mechanical ventilation for at least 24 hours * Physician decision to extubate and all criteria for ventilatory weaning must be present * Resolution of disease acute phase for which the patient was intubated * Conscious patient (Richmond Agitation-Sedation Scale (RASS) \> 0), no sedation * Good coughing effort, good swallowing, positive leak test (\> 12% of tidal volume (VT)) * No important secretions * No respiratory acidosis, adequate oxygenation (PaO2 / FiO2 \> 150 mmHg and CPAP ≤ 8) * Adequate pulmonary function (respiratory rate (RR) ≤ 35, negative inspiratory force (NIF) \> 20 cmH2O, RR/VT \< 105) * Stable cardiovascular status (heart rate (HR) \< 140 bpm, systolic blood pressure \> 90 mmHg, no or minimal vasopressors) * If severe brain injury, the VISAGE score must be ≥ 3 (visual pursuit, good swallowing, GCS \> 10) Exclusion Criteria: * Obese patients with BMI ≥ 35 kg/m2 * Contraindication for nasogastric tube or esophageal manometric balloon placement * Refusal of study participation or to pursue the study by the patient, no consent * Pregnancy or breastfeeding * Absence of coverage by the French statutory healthcare insurance system
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Centre Hospitalier Universitaire Saint Eloi
Montpellier, Herault, 34000, France
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