Actively Recruiting

Age: 18Years +
All Genders
NCT06438302

Effects of Nasal Ventilation on Cerebral and Pulmonary Function in Orally Intubated Patients

Led by Assistance Publique - Hôpitaux de Paris · Updated on 2025-12-03

22

Participants Needed

1

Research Sites

156 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The passage of air through the nasal cavity generates rhythmic oscillations transmitted by the olfactory bulb to the brain, which induces cerebral activation in functional areas and is associated with better cognitive performance compared to oral breathing. Consequently, the abolition of nasal ventilation in patients intubated via the orotracheal route could have deleterious effects on brain activity. Besides the loss of olfaction, the abolition of nasal ventilation could affect brain activity and respiratory control, consequently altering regional pulmonary ventilation. The hypothesis of the study is that nasal ventilation through the passage of humidified nasal airflow in patients intubated via the orotracheal route would be associated with modulation of cerebral electrical activity and tissue oxygenation and a modification of regional pulmonary ventilation.

CONDITIONS

Official Title

Effects of Nasal Ventilation on Cerebral and Pulmonary Function in Orally Intubated Patients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older
  • Diagnosis of hypoxemic acute respiratory failure
  • Intubated and on mechanical ventilation for less than 4 days
  • PaO2/FiO2 ratio below 200
  • Richmond Agitation Sedation Scale (RASS) score less than -4
  • Consent obtained from next of kin
  • Patient has health insurance
Not Eligible

You will not qualify if you...

  • Central nervous system diseases such as stroke, multiple sclerosis, or epilepsy
  • Psychiatric illnesses documented in medical record, including psychosis or depression
  • Hemodynamic instability with noradrenalin dose greater than 2 mg/hour
  • Patient receiving AME treatment
  • Patients under legal protection such as guardianship or curatorship
  • Pregnant or breastfeeding women

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Service de Médecine Intensive Réanimation - Hôpital Pitié -Salpêtrière

Paris, France, 75013

Actively Recruiting

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Research Team

M

Martin Dres

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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