Non Invasive Ventilation With NAVA vs ASV for AECOPD
NCT04414891 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 76
Last updated 2021-08-09
Summary
Non invasive ventilation is the standard of care in managing patients with exacerbation of chronic obstructive pulmonary disease. However no optimal mode of NIV delivery is established; failure rates remain high, attributed to asynchrony and leak associated with NIV. Neurally adjust ventilator assist is a new mode that may improve patient ventilator interactions, improve synchrony and contribute to improved outcomes. Likewise ASV is a mode principled on the closed loop system and is associated with reduction of work associated with breathing and improved outcomes. In this randomised, non-blinded trial, we study these two modes of NIV delivery in patients of AECOPD with hypothesis being that better synchrony with NAVA may translate to better clinical outcomes.
Conditions
- Acute Exacerbation of COPD
Interventions
- DEVICE
-
Non invasive ventilation
Non invasive ventilation will be delivered using an oro-facial interface in both arms. NIV NAVA will be administered using Servo-i ventilator (Maquet, Getinge Group, Sweden) with software to compensate for air leaks. ASV arm will receive NIV using a Galileo GOLD ventilator (Hamilton Medical, AG, Switzerland).
Sponsors & Collaborators
-
Post Graduate Institute of Medical Education and Research, Chandigarh
lead OTHER
Principal Investigators
-
Inderpaul Singh Sehgal, MD DM · Post Graduate Institute of Medical Education and Research, Chandigarh
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-12-01
- Primary Completion
- 2020-12-31
- Completion
- 2020-12-31
Countries
- India
Study Locations
More Related Trials
-
Randomized Controlled Study of Programmed Weaning From NIV for AECOPD
NCT06014034 ·Status: RECRUITING ·Phase: NA
-
Effects of High-intensity Noninvasive Positive Pressure Ventilation in AECOPD
NCT04044625 ·Status: COMPLETED ·Phase: NA
-
Noninvasive Support Methods for Acute Respiratory Failure of Community-acquired Pneumonia
NCT06996834 ·Status: RECRUITING ·Phase: NA
-
Efficacy of an Advanced Auto-titrating NIV in COPD
NCT04848012 ·Status: SUSPENDED ·Phase: NA
-
Neurally Adjusted Ventilatory Assist and Synchrony in Patients With Chronic Obstructive Pulmonary Disease (COPD)
NCT01042080 ·Status: COMPLETED ·Phase: NA
-
Is it Necessary to Set External PEEP in AECOPD Patients
NCT02114567 ·Status: COMPLETED ·Phase: NA
-
Neurally Adjusted Ventilatory Assist for Non Invasive Ventilation and Patient-ventilator Interaction
NCT01074866 ·Status: COMPLETED ·Phase: NA
-
Effects of Vibrating Mesh Nebulisation in Patients With COPD During Non-invasive Ventilation (VMN-NIV)
NCT06884228 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Nasal High Flow Versus Non-invasive Ventilation for Early Treatment of Acute Exacerbation of Chronic Obstructive Pulmonary Disease With Hypercapnic Acidosis
NCT06114667 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Value of Volume Oxygenation Index to Detect Early Failure of Non-invasive Ventilation in Acute Exacerbation of Chronic Obstructive Pulmonary Disease
NCT07074210 ·Status: NOT_YET_RECRUITING
-
Acute Dyspnea After Use of Non-invasive Ventilation in COPD and Emphysema (Deventilation Syndrome)
NCT02942134 ·Status: UNKNOWN
-
New Setting of Neurally Adjusted Ventilatory Assist During Mask Noninvasive Ventilation
NCT03041402 ·Status: COMPLETED ·Phase: NA
-
Non-invasive Ventilation in Severe Chronic Obstructive Pulmonary Disease(COPD)
NCT00710541 ·Status: TERMINATED ·Phase: NA
-
Effect of Nava on Weaning Outcome in Patients With Mechanical Ventilation
NCT05219643 ·Status: COMPLETED ·Phase: NA
-
Neurally Adjusted Ventilatory Assist (NAVA) in NonInvasive Ventilation (NIV)
NCT01426178 ·Status: COMPLETED ·Phase: PHASE1
-
Autotitrating Versus Standard Non-invasive Ventilation (NIV) in Acute Exacerbation of Respiratory Failure
NCT01174316 ·Status: WITHDRAWN ·Phase: NA
-
The Physiological Effect of High Flow Oxygen Therapy
NCT04212182 ·Status: UNKNOWN ·Phase: NA
-
Respiratory Support in Severe Chronic Obstructive Pulmonary Disease Exacerbation
NCT03020394 ·Status: UNKNOWN
-
Can NAVA Mode Reduce Mechanical Ventilation Day in Patients With COPD ?
NCT05595733 ·Status: COMPLETED ·Phase: NA
-
NHF vs NIV in Patients With Acute Exacerbation of COPD
NCT03466385 ·Status: UNKNOWN ·Phase: NA
-
Clinical Application and Outcome of Non-invasive Ventilation in Different Chest Diseases
NCT03169452 ·Status: UNKNOWN
-
Prehospital Non-invasive Ventilation for Acute Exacerbation of Chronic Obstructive Pulmonary Disease
NCT06211920 ·Status: RECRUITING ·Phase: NA
-
Dexmeditomedine Versus No Sedation in Management of Agitation in COPD Patients Receiving Noninvasive Ventilation
NCT05774145 ·Status: NOT_YET_RECRUITING
-
Non-invasive Ventilation Versus Sham Ventilation in Chronic Obstructive Pulmonary Disease (COPD)
NCT00429156 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of HFNC With NIV in Weaning COPD
NCT03458364 ·Status: COMPLETED ·Phase: NA