Removal of Endotracheal Tube Secretions Comprehensively Until Extubation
| Status: | Recruiting |
|---|---|
| Conditions: | Pneumonia, Hospital |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases, Other |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 4/2/2016 |
| Start Date: | April 2008 |
| Contact: | Robert H. Stone, RRT |
| Email: | bstone@sfmc.net |
| Phone: | 573-331-3000 |
Evaluation of the Safety and Efficacy of CAM (Complete Airway Management) Catheters: Phase II Study
The purpose of this study is to measure secretion accumulation within endotracheal tubes of
mechanically ventilated patients and test the efficacy, safety and clinical impact of
removing the secretions using novel airway management catheters (Complete Airway Management
Catheters: CAM Rescue Cath and CAM Endotrach Cath).
mechanically ventilated patients and test the efficacy, safety and clinical impact of
removing the secretions using novel airway management catheters (Complete Airway Management
Catheters: CAM Rescue Cath and CAM Endotrach Cath).
Thirty mechanically ventilated adult patients will be managed with standard suction
catheters. Just prior to extubation, their physiological parameters (including work of
breathing) will be recorded and acoustic reflectometry used to measure the degree of
secretion accumulation within the endotracheal tube. The endotracheal tubes will then be
cleaned using the CAM Catheters (Rescue Cath followed by Endotrach Cath) and the
physiological parameters and endotracheal tube reflectometry measurements repeated for
comparative analysis.
catheters. Just prior to extubation, their physiological parameters (including work of
breathing) will be recorded and acoustic reflectometry used to measure the degree of
secretion accumulation within the endotracheal tube. The endotracheal tubes will then be
cleaned using the CAM Catheters (Rescue Cath followed by Endotrach Cath) and the
physiological parameters and endotracheal tube reflectometry measurements repeated for
comparative analysis.
Inclusion Criteria:
- Patients receiving medical care in adult intensive care unit setting
- Patients who have been intubated and mechanically ventilated for at least 12 hours
- Patients intubated with an endotracheal tube with an internal diameter of 7.0 mm or
greater
Exclusion Criteria:
- Patients receiving medical care in a setting not compatible with an adult intensive
care unit
- Patients who have been intubated and mechanically ventilated for less than 12 hours
- Patients intubated with an endotracheal tube with an internal diameter of 6.5 mm or
less
- Patients intubated with dual lumen or steel-reinforced endotracheal tubes
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