Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT04471129

Non-invasive Ventilation and High-speed Oxygen Therapy Effects on Heart Function - HiFlow-Heart Study

Led by University Hospital, Rouen · Updated on 2026-03-16

30

Participants Needed

1

Research Sites

313 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The investigators hypothesize that the airway pressures generated by High Flow Oxygen Therapy could have a beneficial impact in patients with heart failure, particularly by lowering capillary pulmonary arterial pressures. However, results compared to Non-Invasive Ventilation are difficult to predict due to the lack of data in the literature.

CONDITIONS

Official Title

Non-invasive Ventilation and High-speed Oxygen Therapy Effects on Heart Function - HiFlow-Heart Study

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults who have undergone cardiac surgery with extracorporeal circulation lasting more than 24 hours and have been extubated for at least 6 hours
  • Pre-operative heart failure with left ventricular ejection fraction less than 40%
  • Invasive monitoring by pulmonary arterial catheter (Swan-Ganz) and radial arterial catheter for intra- and post-operative monitoring
  • Receiving conventional oxygen therapy without increased oxygen flow for more than 30 minutes and no signs of hypoxemia (SpO2 ≥ 92%)
  • Stable hemodynamic parameters with no significant changes or increases in cardiotropic medication for at least 30 minutes
  • Oxygenation rate of 6 liters or less
  • Negative pregnancy test at inclusion for women of child-bearing age
  • Able to understand information and provide signed consent
  • Affiliated with a social security scheme
Not Eligible

You will not qualify if you...

  • Contraindication to the use of Non-Invasive Ventilation or High Flow Oxygen Therapy
  • Currently intubated or with a tracheotomy
  • Renal failure requiring hemodialysis or hemofiltration
  • Uncontrolled shock with low blood pressure or low cardiac index or high doses of vasoactive medications
  • Acute respiratory failure with respiratory distress signs or oxygen saturation below 92% on oxygen therapy
  • Oxygen dependency requiring more than 6 liters per minute oxygen flow
  • Advanced chronic respiratory disease
  • Chronic home treatment with Non-Invasive Ventilation or CPAP
  • Moderate or severe aortic or mitral valve insufficiency (grade ≥ II/IV) not operated
  • Recent administration of loop diuretics within specified time frames
  • Altered consciousness or cognitive dysfunction
  • Pregnant, nursing, or lack of effective contraception
  • Legal restrictions such as judicial protection or deprivation of liberty
  • Participation in another clinical trial within the past 4 weeks that could interfere with this study

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

Chu Rouen

Rouen, France, 76031

Actively Recruiting

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Research Team

E

Elisabeth Surlemont, Dr

CONTACT

E

Emmanuel Besnier, Dr

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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