HFNT vs. COT in COVID-19
NCT04655638 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 364
Last updated 2021-10-26
Summary
The aim of this unblinded parallel-group randomized multicenter clinical trial is to compare the clinical effectiveness of high flow nasal therapy (HFNT) with conventional oxygen therapy (COT) in patients with confirmed COVID-19 related acute hypoxemic respiratory failure.
Conditions
- Covid19
- Acute Respiratory Failure
Interventions
- DEVICE
-
High Flow Nasal Therapy
High flow nasal therapy will be delivered by any device (standalone machine or ventilators able to deliver it). The initial flow rate will be set at 40 L/min and potentially increased up to 60 L/min, according to patient tolerance. Large-bore nasal prongs will be selected according to the size of patients' nostrils (i.e. 2/3 of the diameter of the patient's nostril). A surgical mask will be placed on top of the HFNT interface. The temperature will be set at 37°C or 34 °C according to the patient's comfort. The FiO2 will be adjusted to maintain SpO2 between 92-96%.
- DEVICE
-
Conventional Oxygen Therapy
Conventional Oxygen therapy will be delivered by any device or combination of devices used for delivering oxygen such as nasal cannula, Venturi Mask or Mask with or without a reservoir bag as per usual local practice. Oxygen flow will be titrated to achieve SpO2 between 92-96%.
Sponsors & Collaborators
-
Azienda Ospedaliera, Universitaria Policlinico Vittorio Emanuele
collaborator OTHER -
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone Palermo
lead OTHER
Principal Investigators
-
Andrea Cortegiani, MD · University of Palermo. Azienda Ospedaliera Policlinico Paolo Giaccone
-
Claudia Crimi, MD · Respiratory Medicine Unit, "Policlinico-Vittorio Emanuele San Marco" University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-02-10
- Primary Completion
- 2021-09-22
- Completion
- 2021-10-25
Countries
- Greece
- Italy
- Poland
- Portugal
- Spain
- Turkey (Türkiye)
Study Locations
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