Rehabilitation With HHFNC in COPD in Nocturnal NIV
NCT04683952 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2020-12-24
Summary
Humidified High Flow Nasal Cannula (HHFNC), with optional supplemental oxygen delivery, has evolved in recent years with an increasing number of papers that show a better meet with respiratory demand, decrease oxygen dilution, increased Functional Residual Capacity (FRC), dead space washout, more tolerate than Non Invasive Ventilation (NIV) and provide heated and humidified gas. HHFNC is mainly used in intensive care settings or in acute respiratory diseases for the treatment of mild to moderate acute hypoxic respiratory failure and ventilator weaning. The aim of this study is to evaluate, in patients with Chronic Obstructive Pulmonary Disease (COPD) in nocturnal NIV, according to the European Respiratory Society (ERS) and American Thoracic Society (ATS) guidelines, whether HHFNC during rehabilitation has an additional effect in increasing the distance in 6 Minute Walking Distance (6MWD) compared to the control group with nocturnal NIV without HHFNC treatment. As secondary objectives, we expect a decrease in Emergency Department (ED) accesses, General Practitioner (GP) unplanned visits, hospitalizations and an improvement of the quality of life and patient satisfaction.
Conditions
Interventions
- DEVICE
-
Exercise training with Humified High Flow Nasal Cannula
The experimental group will be trained using HHFNC with the most adequate continuous flow, in a range between 25 and 30 L / min.
- OTHER
-
Exercise training - Control Group
The control group will perform exercise training in spontaneous breathing.
Sponsors & Collaborators
-
Fondazione Don Carlo Gnocchi Onlus
lead OTHER
Principal Investigators
-
Paolo Banfi, MD · Fondazione Don C. Gnocchi - I.R.C.C.S. Santa Maria Nascente
-
Laila Di Pietro, RT · Fondazione Don C. Gnocchi - I.R.C.C.S. Santa Maria Nascente
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-01-01
- Primary Completion
- 2021-01-31
- Completion
- 2022-01-31
Countries
- Italy
Study Locations
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