HFNC Flow Titration and Effort of Breathing in the PICU
NCT02793674 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 21
Last updated 2024-10-30
Summary
High-flow nasal cannula (HFNC) is a method of non-invasive respiratory support used to decrease the effort of breathing (EOB) in patients with a wide variety of respiratory diseases in the pediatric intensive care unit. While its use has shown association with decreased rates of mechanical ventilation, there is a paucity of data examining its direct effect upon objective measurements of EOB. This study will aim to evaluate objective measurements of EOB in response to different levels of HFNC support, characterize the natural course of respiratory diseases treated with HFNC, evaluate changes in EOB secondary to the administration of supplemental medical therapies used in conjunction with HFNC, and compare different physiologic metrics for quantifying EOB in patients on HFNC.
Conditions
- High Flow Nasal Cannula
Interventions
- DEVICE
-
Fisher & Paykel high flow nasal cannula
Measurements of effort of breathing will be obtained at flow rates of 0.5, 1.0, 1.5, and 2.0 L/kg/min. Adequate time will be allowed at each flow rate for stabilization of EOB and flow levels will be trialed in a random order, each being trialed for approximately 5 minutes.
- DEVICE
-
Vapotherm high flow nasal cannula
Measurements of effort of breathing will be obtained at flow rates of 0.5, 1.0, 1.5, and 2.0 L/kg/min. Adequate time will be allowed at each flow rate for stabilization of EOB and flow levels will be trialed in a random order, each being trialed for approximately 5 minutes.
Sponsors & Collaborators
-
Children's Hospital Los Angeles
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Max Age
- 3 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-09-30
- Primary Completion
- 2016-07-31
- Completion
- 2016-07-31
Countries
- United States
Study Locations
More Related Trials
-
Interest of High Flow Nasal Cannula Oxygen Therapy in Pediatric Intensive Care Unit
NCT03505814 ·Status: UNKNOWN ·Phase: NA
-
Diaphragmatic Work During HFNC and CPAP Support
NCT06249009 ·Status: RECRUITING ·Phase: NA
-
HFNC Versus NCPAP/ NPPV in Infants With Severe Bronchiolitis
NCT04650230 ·Status: COMPLETED ·Phase: NA
-
High Flow in Infants With Bronchiolitis
NCT02913040 ·Status: COMPLETED ·Phase: NA
-
Using HFNC in Bronchiolitis
NCT03342781 ·Status: COMPLETED ·Phase: NA
-
Nurse-led High-flow Nasal Cannula Weaning Protocol in Pediatric Intensive Care Unit
NCT06621641 ·Status: COMPLETED ·Phase: NA
-
High Flow Nasal Cannula in Pediatric Patients After Cardiothoracic Surgery
NCT04451057 ·Status: RECRUITING ·Phase: NA
-
Airway Pressure During Humidified High Flow Nasal Cannula Therapy in Children
NCT02387632 ·Status: COMPLETED
-
High Flow Nasal Cannula in Comparison With Nasal Continuous Positive Airway Pressure in the Management of Respiratory Distress Syndrome
NCT02587832 ·Status: COMPLETED ·Phase: NA
-
High Flow Nasal Cannula in Preterm Infants
NCT03007056 ·Status: COMPLETED
-
Heated High Flow Oxygen Use in Infants With Bronchiolitis and Hypoxia
NCT01662544 ·Status: UNKNOWN ·Phase: NA
-
Optimizing High Flow Nasal Cannula Oxygenation in Pediatric Airway Procedures
NCT06947902 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
High Flow Nasal Cannula Use in Infants With Bronchiolitis
NCT02737280 ·Status: TERMINATED ·Phase: NA
-
Comparison of High Flow Nasal Cannula Therapy to Nasal Oxygen as a Treatment for Obstructive Sleep Apnea in Infants
NCT02858154 ·Status: COMPLETED ·Phase: NA
-
High Flow Nasal Cannula Rates in Pediatric Asthma
NCT06379607 ·Status: WITHDRAWN ·Phase: NA
-
Effect of Synchronized vs. Continuous HFNC Using NAVA on WOB in Infants With BPD
NCT04274192 ·Status: TERMINATED ·Phase: NA
-
External Nasal Dilator and Oxygen Therapy in Respiratory Failure
NCT02662387 ·Status: COMPLETED ·Phase: NA
-
High Flow Nasal Cannula (HFNC) Initiation Flow Rate Study
NCT04517344 ·Status: TERMINATED ·Phase: NA
-
Effect of Cannula Size on Oxygen Saturation During Nasal High Flow Therapy in Newborns
NCT04459429 ·Status: COMPLETED ·Phase: NA
-
Weight-based Flow Rates for Children With Bronchiolitis on High-Flow Nasal Cannula: A Pilot Randomized Control Trial
NCT03492307 ·Status: COMPLETED ·Phase: NA
-
Effect of High Frequency Oscillatory Highflow Nasal Cannula on Desaturations and Bradycardia in Preterm Infants
NCT04327466 ·Status: COMPLETED ·Phase: NA
-
Study of High-flow Oxygen Therapy Against Standard Therapy in Bronchiolitis
NCT01498094 ·Status: COMPLETED ·Phase: NA
-
High Flow Nasal Cannulas in Children
NCT03689686 ·Status: UNKNOWN ·Phase: NA
-
Patient Comfort During High Flow Nasal Cannula Versus Nasal Continuous Airway Pressure (CPAP)
NCT01526226 ·Status: COMPLETED ·Phase: NA
-
High-flow Nasal Oxygen Therapy in Hospitalized Infant With Moderate-to-severe Bronchiolitis
NCT02856165 ·Status: COMPLETED ·Phase: NA