Endotracheal suctioning during positive-pressure extubation in the ICU
Official title: Removal of the Intubation Tube Under Positive Pressure With or Without Endotracheal Suctioning During Extubation in Intensive Care: a Prospective Randomised Controlled Trial
Run by Centre Hospitalier Régional d'Orléans · NCT07130123 · Data updated 2026-11-12
This tests whether doing endotracheal suctioning during positive-pressure extubation helps adults on mechanical ventilation have better oxygenation (ROX) three hours after extubation.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 120 (estimated) |
| Sponsor | Centre Hospitalier Régional d'Orléans Academic / other |
| Locations | 1 site (Orléans, Loiret) |
| Status | Recruiting |
| Started | October 3, 2025 |
| Main results expected | September 2027 |
| Study ends | October 2027 |
| Registry record updated | December 19, 2025 |
| Trial ID | NCT07130123 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (over 18) who have been intubated more than 48 hours in the ICU and are prescribed planned extubation by their physician are the intended participants.
✕Probably not a fit
Patients with head-of-bed restriction >30°, those with decisions to limit active treatment, pregnant or breastfeeding women, individuals under legal protection, or those without social security affiliation are excluded and therefore will not be eligible to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, randomized, controlled trial comparing endotracheal suctioning versus no suctioning during positive-pressure extubation in mechanically ventilated adults. Eligible patients intubated for more than 48 hours and cleared for extubation by their physician are randomized at the time of planned extubation. Respiratory rate, pulse oximetry, and inspired oxygen fraction are recorded for three hours after extubation to calculate the ROX index as the primary short-term outcome. Vital status is recorded up to 28 days after extubation.
Why it matters
Potential benefit: If successful, the intervention could improve short-term oxygenation after extubation and potentially reduce early respiratory compromise.
How similar studies have gone: Similar suctioning techniques are used in clinical practice but randomized evidence on their effect on post-extubation oxygenation is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patient * Intubated for more than 48 hours * Patient for whom extubation is prescribed by the patient's physician Exclusion Criteria: * Headboard restriction\>30°. * Decision to limit active treatment in advance of reintubation * Protected person (under guardianship or curatorship) * Person under court protection * Persons deprived of liberty * Persons not affiliated to a social security scheme * Pregnant or breast-feeding woman * No co-inclusion with a study whose period of interest is follow-up within 3 hours of extubation.
Where it's running
-
Centre Hospitalier Universitaire d'Orléans
Orléans, Loiret, France Recruiting
Study contacts
- Principal investigator: Cécile FOSSAT — Centre Hospitalier Universitaire d'Orléans
- Study coordinator: Cécile FOSSAT
- Email: fanny.louat@chu-orleans.fr
- Phone: +33238575252
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
On-hours vs off-hours extubation: comparing acute airway problems after extubation
This study tests whether extubations done during on-hours have fewer acute airway/respiratory problems in the first 30 minutes after extubation compared with extubations done off-hours in adults undergoing general anesthesia.
-
Heart rate variability and standard tests to help decide when to remove a breathing tube
This study will test whether combining heart rate variability from a wearable ECG sensor with standard weaning tests can help doctors decide when patients on mechanical ventilation are ready to have the breathing tube removed.
-
Pressure-support versus T-piece breathing test for overweight and obese adults on ventilators
This test will see if a one-hour pressure-support or T-piece breathing trial helps overweight and obese adults on a ventilator be successfully extubated without needing reintubation within 72 hours.
-
Readiness for EXtubation (REXs) score for patients on invasive mechanical ventilation
This will test the Readiness for EXtubation (REXs) score to see if it can predict which ICU patients on invasive mechanical ventilation can be safely extubated.
-
High-flow nasal cannula versus non-invasive ventilation after extubation in children following heart surgery
This compares high-flow nasal cannula and non-invasive ventilation to see which better prevents reintubation in children after heart surgery.
-
Evaluating Heart Function During Breathing Trials in ICU Patients
This study tests which type of breathing trial is easiest on the heart for ICU patients who are trying to breathe on their own without help from machines.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.