Identification and Treatment of Hypoxemic Respiratory Failure and ARDS With Protection, Paralysis, and Proning Pathway
NCT04744298 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 19916
Last updated 2026-05-07
Summary
Treatment of patients with Hypoxemic respiratory failure (HRF) and Acute Respiratory Distress Syndrome (ARDS) is complex. Therapies that have been shown to save the lives of patients with HRF and ARDS are available but they are not always provided. To reduce practice variation and improve adherence to evidence-informed therapies, the investigators developed the Treatment of Hypoxemic Respiratory Failure and ARDS with Protection, Paralysis, and Proning (TheraPPP) Pathway.
The overall objective of TheraPPP Pathway is to improve the quality of care for patients with HRF. Implementation of the pathway across Alberta will test the effectiveness and implementation of the TheraPPP Pathway.
Conditions
- Acute Respiratory Distress Syndrome
- Hypoxemic Respiratory Failure
- ARDS, Human
Interventions
- OTHER
-
TheraPPP
TheraPPP Steps: Step 1. All mechanically ventilated patients will have a height measured and documented. Step 2. Screening for HRF. Step 3. Initiate Lung Protective Ventilation (LPV). Step 4. Paralysis. Step 5. Prone Positioning.
Sponsors & Collaborators
-
Alberta Health services
collaborator OTHER -
University of Calgary
lead OTHER
Principal Investigators
-
Ken K Parhar, MD, MSc · University of Calgary
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-04-01
- Primary Completion
- 2024-03-20
- Completion
- 2026-12-31
Countries
- Canada
Study Locations
More Related Trials
-
Pulmonary and Ventilatory Effects of Bed Verticalization in Patients With Acute Respiratory Distress Syndrome
NCT04371016 ·Status: COMPLETED ·Phase: NA
-
Airway Pressure Release Ventilation for Moderate-to-severe Acute Respiratory Distress Syndrome
NCT04156438 ·Status: COMPLETED ·Phase: NA
-
Incidence of Dyssynchronies in Early ARDS
NCT03447288 ·Status: UNKNOWN
-
Extracorporeal Carbon Dioxide Removal for Acute Respiratory Distress Syndrome
NCT00000572 ·Status: COMPLETED ·Phase: PHASE3
-
Feasibility and Efficacy of Automated Lateral Decubitus Therapy in Hypoxemic Respiratory Failure
NCT06698913 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Artificial Intelligence in Categorizing the Severity of Oxygenation by Incorporating the PEEP Into the Definition of ARDS in Ventilated Patients
NCT05371314 ·Status: UNKNOWN
-
HERMES STUDY: Study on the Feasibility and Efficiency of Noninvasive Positive-Pressure Ventilation (NPPV) in Prehospital Care
NCT00375154 ·Status: WITHDRAWN ·Phase: NA
-
Extrapulmonary Interventional Ventilatory Support in Severe Acute Respiratory Distress Syndrome (ARDS)
NCT00538928 ·Status: COMPLETED ·Phase: NA
-
Noninvasive Positive Pressure Ventilation for Early Extubation of Acute Hypoxemic Respiratory Failure
NCT01151501 ·Status: WITHDRAWN ·Phase: NA
-
Apneic Oxygenation With High-flow Nasal Oxygenation After Preoxygenation With Noninvasive Ventilation Before Intubation in Hypoxemic Patients in Intensive Care Unit.
NCT07189338 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Pulmonary And Renal Support During Acute Respiratory Distress Syndrome
NCT01239966 ·Status: COMPLETED ·Phase: PHASE3
-
Comparison of Positive End Expiratory Pressure Titration Methods in ARDS Patients
NCT03281473 ·Status: UNKNOWN ·Phase: NA
-
Early Spontaneous Breathing in Acute Respiratory Distress Syndrome
NCT01862016 ·Status: UNKNOWN ·Phase: NA
-
Lung and Diaphragm-Protective Ventilation by Means of Assessing Respiratory Work
NCT03612583 ·Status: COMPLETED ·Phase: PHASE1
-
CUrrent Practices of Intensive Care for the Management of Acute Respiratory Distress Syndrome in EurOpe.
NCT06714201 ·Status: NOT_YET_RECRUITING
-
NIV Versus HFO Versus Standard Therapy Immediately After Weaning From Mechanical Ventilation in ARDS Patients
NCT06332768 ·Status: COMPLETED ·Phase: NA
-
Extracorporeal Membrane Oxygenation (ECMO) in Non-intubated Patients With Acute Respiratory Distress Syndrome (ARDS)
NCT01669863 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Sigh in Acute Hypoxemic Respiratory Failure
NCT03201263 ·Status: COMPLETED ·Phase: NA
-
STimulation to Activate RespIration
NCT06832306 ·Status: RECRUITING ·Phase: NA
-
Feasabilty and Physiological Effects of a Ventilation Strategy Combining PEEP and Tidal Volume Titration According to Inspiratory and Expiratory Transpulmonary Pressures in ARDS Patients.
NCT05337059 ·Status: COMPLETED ·Phase: NA
-
Comparison of High-flow Oxygen vs. BiPAP in Type II (Hypercapnic) Respiratory Failure
NCT03443479 ·Status: COMPLETED
-
High Flow Nasal Canula Oxygen Helps Preoxygenate ARDS Patients
NCT02214576 ·Status: COMPLETED
-
Lung Open Ventilation to Decrease Mortality in the Acute Respiratory Distress Syndrome
NCT00182195 ·Status: COMPLETED ·Phase: PHASE3
-
Closed-loop Oxygen Control for High Flow Nasal Therapy
NCT04965844 ·Status: COMPLETED ·Phase: NA
-
CPAP Versus HFNO for the Treatment of Acute Hypoxemic Respiratory Failure Due to Community Acquired Pneumonia
NCT05755425 ·Status: UNKNOWN