Status:

COMPLETED

High-flow Oxygen Therapy vs Non-invasive Ventilation: Comparison of Alveolar Recruitment in Acute Respiratory Failure

Lead Sponsor:

University Hospital, Rouen

Conditions:

Acute Respiratory Failure With Hypoxia

Eligibility:

All Genders

18+ years

Brief Summary

This physiological study showed an increase in regional ventilation with NIV but no difference in alveolar recruitment as compared to HFNC in patients with hypoxemic ARF. Although NIV provided better ...

Detailed Description

Background: High-flow nasal cannula (HFNC) oxygen therapy has recently shown clinical benefits in hypoxemic acute respiratory failure (ARF) patients, while the interest of non-invasive ventilation (NI...

Eligibility Criteria

Inclusion

  • Adult patients referred in ICU
  • with hypoxemic acute respiratory failure due to a community acquired pneumonia confirmed by chest X ray,
  • with PaO2 \< 60mmHg in ambient air, without hypercapnia (PaCO2 \< 45 mmHg),
  • requiring more than 6L/min of O2 on admission with high concentration FM, and justifying HFNC or NIV for the attending ICU physician

Exclusion

  • cardiogenic pulmonary oedema,
  • moderate to severe underlying respiratory disease including COPD (chronic obstructive pulmonary disease)
  • contraindication to or failure of previous NIV or HFNC with the need for immediate invasive ventilation
  • pregnant or breast-feeding women
  • carrier of an implantable defibrillator or pacemaker
  • body mass index (BMI)\>50 kg/m2
  • with cutaneous lesion next to the positioning zone of the Pulmovista® (Dräger, Lübeck, Germany) belt

Key Trial Info

Start Date :

February 22 2016

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

February 19 2018

Estimated Enrollment :

16 Patients enrolled

Trial Details

Trial ID

NCT04664322

Start Date

February 22 2016

End Date

February 19 2018

Last Update

December 11 2020

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