Clinical trial Recruiting at 1 site Interventional Ages 18 and up

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.

More Extubation trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment120 (estimated)
SponsorCentre Hospitalier Régional d'Orléans
Academic / other
Locations1 site (Orléans, Loiret)
StatusRecruiting
StartedOctober 3, 2025
Main results expectedSeptember 2027
Study endsOctober 2027
Registry record updatedDecember 19, 2025
Trial IDNCT07130123 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.