Team sedation strategy may shorten ventilator time for kids
NCT ID NCT00814099
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a team-based approach to managing sedation in children with acute respiratory failure who need a breathing machine. The goal was to reduce the number of days on the ventilator. Over 2,400 children from multiple hospitals participated, comparing the team approach to usual care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- team approach to sedation management
- What this could lead to
- If successful, this approach could shorten the time children need a breathing machine, reducing hospital stays and risks.
- What could go wrong
- This is a completed study, so results are known. The approach may not work for all children or in all hospitals.
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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2,449 people
The number who actually took part.
- Start date
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Jan 2009
- Finished
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Dec 2013
- 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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2 weeks to 18 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: * At least 2 weeks of age (and at least 42 weeks post-menstrual age) and less than 18 years of age * Intubated and mechanically ventilated for acute lung disease Exclusion Criteria: * Cyanotic heart disease with unrepaired or palliated right to left intracardiac shunt * History of single ventricle at any stage of repair * Congenital diaphragmatic hernia or paralysis * Primary pulmonary hypertension * Critical airway or anatomical obstruction of the lower airway * Ventilator dependent upon pediatric ICU admission * Neuromuscular respiratory failure * Spinal cord injury above the lumbar region * Pain managed by patient-controlled analgesia or epidural catheter * Patient transferred from an outside ICU where sedatives had already been administered for more than 24 hours * Family or medical team has decided not to provide full support * Enrolled in any other critical care interventional clinical trial concurrently or in the 30 days before study entry * Known allergy to any of the study medications * Pregnancy
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Conditions
The condition(s) this trial relates to.
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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Advocate Hope Children's Hospital
Oak Lawn, Illinois, 60453, United States
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C. S. Mott Children's Hospital of the University of Michigan
Ann Arbor, Michigan, 48109-0243, United States
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Children's Hospital and Research Center at Oakland
Oakland, California, 94609-1809, United States
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Children's Hospital at University of California San Francisco Medical Center
San Francisco, California, 94143, United States
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Children's Hospital of Alabama
Birmingham, Alabama, 35233, United States
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Children's Hospital of Orange County
Orange, California, 92868, United States
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Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Children's Medical Center Dallas
Dallas, Texas, 75235, United States
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Children's Memorial Hospital, Chicago
Chicago, Illinois, 60614-3363, United States
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Children's Mercy Hospital, Kansas City
Kansas City, Missouri, 84108, United States
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Cohen Children's Medical Center of New York
New Hyde Park, New York, 11040, United States
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Connecticut Children's Medical Center
Hartford, Connecticut, 06106, United States
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Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756-0001, United States
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Doernbecher Children's Hospital
Portland, Oregon, 97239, United States
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Duke Children's Hospital and Health Center
Durham, North Carolina, 27710, United States
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Florida Hospital for Children
Orlando, Florida, 32803, United States
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Holtz Children's Hospital
Miami, Florida, 33136, United States
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Johns Hopkins Children's Center
Baltimore, Maryland, 21287, United States
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Lucile Salter Packard Children's Hospital at Stanford
Palo Alto, California, 94304-0126, United States
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Medical City Children's Hospital
Dallas, Texas, 75230, United States
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Monroe Carell, Jr. Children's Hospital at Vanderbilt
Nashville, Tennessee, 37232-9075, United States
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Nemours/Alfred I. duPont Hospital for Children
Wilmington, Delaware, 19803, United States
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Primary Children's Medical Center
Salt Lake City, Utah, 84113, United States
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St. Louis Children's Hospital
St Louis, Missouri, 63110, United States
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The Children's Hospital at Montefiore
The Bronx, New York, 10467, United States
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University Medical Center, The University of Arizona
Tucson, Arizona, 85724, United States
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University of California Davis Medical Center
Sacramento, California, 95817, United States
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University of Maryland Hospital for Children
Baltimore, Maryland, 21201-1595, United States
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University of Massachusetts Memorial Children's Medical Center
Worcester, Massachusetts, 01655, United States
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University of Nebraska Medical Center
Omaha, Nebraska, 68114, United States
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Yale-New Haven Children's Hospital
New Haven, Connecticut, 06520-8064, United States
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Other studies related to the condition(s) this trial covers.
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