NCT Number: NCT05141396
The purpose of this trial is to evaluate if augmenting a usual audit and feedback implementation approach with telehealth-enabled support improves coordinated spontaneous awakening/breathing trials and patient outcomes for mechanically ventilated patients.
Interested in participating?
Request Info16 year and older
All sexes
Interventional
Not applicable
American Fork Hospital, American Fork, Utah, United States
Sedation and analgesia are utilized with invasive mechanical ventilation (IMV) to improve patient comfort and synchrony with the mechanical ventilator. Prolonged sedation, however, may result in increased time on IMV and increased risk for ventilator associated pneumonia, delirium, and poor long-term cognitive outcomes. Daily interruptions in sedation [spontaneous awakening trials (SAT)] coordinated with daily spontaneous breathing trials (SBT) reduce mortality, increase ventilator free days, decrease intensive care unit (ICU) length of stay, and reduces ventilator-associated events. Coordination of spontaneous awakening and breathing trials (C-SAT/SBT), however, are underutilized due to significant barriers to implementation and adherence. This cluster-randomized hybrid implementation/effectiveness trial will compare C-SAT/SBT adherence and clinical outcomes in the presence of traditional audit and feedback implementation strategies alone or augmented with a novel Telehealth-Enabled, real-time Audit and feedback for Clinician adHerence ("TEACH") implementation strategy.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Telehealth-enabled support over and above usual audit and feedback includes identifying candidates for spontaneous awakening and breathing trials, prompting bedside providers and guiding execution of the coordinated spontaneous awakening and breathing trials as needed.
Usual audit and feedback
Time frame: intubation to extubation - an average of 5 days
Fraction of eligible days on which coordinated spontaneous awakening trial and spontaneous breathing trial completed.
Time frame: 28 days
ventilator-free days to day 28
Time frame: 30 days
Time frame: Through hospital discharge, an average of 10 days
Time frame: 90 Days
Time frame: Through hospital discharge, an average of 10 days
Time frame: Through hospital discharge, an average of 10 days
Time frame: intubation to extubation - an average of 5 days
Time frame: intubation to extubation - an average of 5 days
Contact information is provided by the study sponsor or research team.
Carlos Barbagelata
CONTACT
Colin Grissom, MD
CONTACT
Intermountain Health Care, Inc.
Other
Implementation of Coordinated Spontaneous Awakening and Breathing Trials Using Telehealth-Enabled, Real-Time Audit and Feedback for Clinician Adherence: A Type II Hybrid Effectiveness-Implementation
Acronym: TEACH
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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