Status:

NOT_YET_RECRUITING

Asymmetrical High Flow Oxygen Versus Noninvasive Ventilation in Acute Hypercapnic Respiratory Failure

Lead Sponsor:

Unity Health Toronto

Conditions:

Acute Hypercapnic Respiratory Failure

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

NIV is a life-saving treatment for people with breathing failure and carbon dioxide (CO2) retention. It helps remove this waste gas from the lungs and reduces the effort needed to breathe. However, th...

Eligibility Criteria

Inclusion

  • Diagnosed with acute hypercapnic respiratory failure
  • Admitted to the intensive care unit
  • Being treated with either high-flow oxygen treatment or non-invasive ventilation

Exclusion

  • Clinical instability - defined as the presence of one of the followings: respiratory rate \> 40 breaths/minute, SpO2 \< 80%, active broncho-pleural fistula, Glasgow Coma Scale \< 8, mean arterial pressure below 60 mmHg despite usage of vasopressors
  • Requiring immediate need of endotracheal intubation, according to the judgement of the attending physician
  • Contraindications of monitoring with electrical impedance tomography (e.g. pacemaker, chest wall burns wounds limiting electrode placement).

Key Trial Info

Start Date :

August 25 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2026

Estimated Enrollment :

24 Patients enrolled

Trial Details

Trial ID

NCT07157098

Start Date

August 25 2025

End Date

July 1 2026

Last Update

September 5 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

St. Michael's Hospital

Toronto, Ontario, Canada, M5B1W8