- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04481581
Titration of Oxygen Levels During Mechanical Ventilation With Electronic Alerts (TOOLs)
Titration of Inspired Oxygen During Mechanical Ventilation Using a Bedside Decision Support Tool
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The investigators will conduct a prospective randomized, clinical trial in the Medical Intensive Care Unit at Ohio State University Medical Center. In the intervention arm, respiratory therapists' will conduct oxygen titration with the help of a novel, high fidelity, electronic health records based, protocol consisting of electronic alerts and decision support tool. Oxygen titration in the control arm will be done without alerts and will be per "current standard of care".
Participants for this study will be identified and recruited from patients admitted to the Ohio State University, Wexner Medical Center and James Cancer Hospital, Medical Intensive Care Unit.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Michelle Bright
- Phone Number: 614-292-3496
- Email: michelle.bright@osumc.edu
Study Locations
-
-
Ohio
-
Columbus, Ohio, United States, 43210
- Recruiting
- Ohio State University Medical Center
-
Contact:
- Sonal Pannu
- Phone Number: 507-226-1636
- Email: sonal.pannu@osumc.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
• Critically ill subjects who require mechanical ventilation for at least 24 hours.
Exclusion Criteria:
- Subjects without research authorization,
- Pregnancy,
- Pneumothorax,
- Carbon monoxide poisoning,
- Hyperbaric oxygen therapy
- Acute ST elevation Myocardial Infarction
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention arm- Oxygen titration with electronic alerts
Oxygen titration will be done based on electronic alerts and decisions support tool by Respiratory Therapists, if FiO2=> 0.4 and SpO2 =>94% for more than 45 minutes
|
When FiO2 remains =>0.4 and SpO2 =>94% for more than 45 minutes, an electronic health record based alert will be sent to respiratory therapists to titrate oxygen per decision support tool.
|
No Intervention: Control Arm- Oxygen titration by one time physician orders
Oxygen titration will be done ventilator management guidelines for the medical intensive care unit.
Titration is done by one-time orders.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Duration of Hyperoxemia
Time Frame: Duration of Mechanical Ventilation, an average of 10-14 days
|
The degree of excess exposure will be recorded as percent FiO2 >0.4 when saturation continued to remain above 94%.
Primary outcome will be determined by the proportion of time the patient will be "exposed to excessive supplied oxygen" divided by the total time under mechanical ventilation.
|
Duration of Mechanical Ventilation, an average of 10-14 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Ventilator Free days
Time Frame: 28 days
|
The number of days between successful weaning from mechanical ventilation and day 28 after study enrollment.
|
28 days
|
ICU length of stay
Time Frame: days of ICU stay within hospitalization, average of 20-25 days
|
Duration of stay in the intensive care unit after patient enrollment
|
days of ICU stay within hospitalization, average of 20-25 days
|
Duration of stay in the hospital after patient enrollment
Time Frame: Current Hospital Stay, upto 30 days
|
Duration of stay in the hospital after patient enrollment
|
Current Hospital Stay, upto 30 days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Sonal R Pannu, M.D., Ohio State University
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 2014H0236
- 5KL2TR002734-03 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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