HVNI Versus NIV In Management Of Acute Hypercapnic Respiratory Failure In OHS
NCT05805293 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 56
Last updated 2023-04-07
Summary
1. Assessment of benefits of HVNI in management of obesity hypoventilation syndrome complicated with acute hypercapnic respiratory failure.
2. Compare the value, safety and effectiveness of HVNI and NIV in patients with obesity hypoventilation syndrome complicated with acute hypercapnic respiratory failure.
Conditions
- Obesity Hypoventilation Syndrome (OHS)
Interventions
- DEVICE
-
High-Velocity Nasal Insufflation Therapy
Parameter settings for the HVNI apparatus are as follows: 1. The flow of HVNI will initially be set at 30-40 L/min, and inspiratory flow rate could be increased to 45-60 L/min. 2. FIO2 will be adjusted to maintain a SaO2 more than 90 % and relative humidity of 30-34%. 3. Temperature range of 35-37°C.
- DEVICE
-
Non-Invasive Ventilation
Patients will be put on inspiratory/expiratory pressure 10/5 cmH2O (11). The inspiratory and expiratory pressures will be titrated with increments of 2 cmH2O based on improvement of oxygen saturation by continuous pulse oximetry and arterial blood gases values, alleviation of dyspnea and a decrease of respiratory rate and heart rate. The maximum allowed inspiratory pressure was 20 cm H2O. The maximum allowed expiratory pressure was 10 cm H2O.
Sponsors & Collaborators
-
Assiut University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-05-01
- Primary Completion
- 2024-05-01
- Completion
- 2024-06-01
More Related Trials
-
Alternative of Treatment in Obesity Hypoventilation Syndrome
NCT01405976 ·Status: COMPLETED ·Phase: NA
-
Impact of Non-intentional Leaks on Noninvasive Ventilation
NCT00983411 ·Status: COMPLETED
-
The Obesity-hypoventilation Syndrome Study of Clinical Characteristics and Predictive Factors of Response to Treatment
NCT00938977 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Prolonged Apnea Supported by High Frequency Non-invasive Ventilation.
NCT02712190 ·Status: UNKNOWN ·Phase: NA
-
High Flow Oxygen and Non Invasive Ventilation for Hypercapnic Respiratory Failure
NCT03627598 ·Status: UNKNOWN ·Phase: NA
-
Therapy With High-flow Oxygen by Nasal Cannula vs Noninvasive Ventilation in Patients With Acute Hypoxemic Respiratory Failure: a Crossover Physiologic Study
NCT03865056 ·Status: UNKNOWN ·Phase: NA
-
Randomized Controlled Trial Between Auto-titration and Manual Titration of Non-invasive Ventilation in Obesity Hypoventilation Syndrome
NCT04327336 ·Status: COMPLETED ·Phase: NA
-
Volume-targeted Versus Pressure-limited Noninvasive Ventilation in Patients With Acute Hypercapnic Respiratory Failure
NCT02538263 ·Status: COMPLETED ·Phase: NA
-
Multicenter Prospective Observational Study on Diaphragmatic Function Assessment by Ultrasound in Patients With Acute Respiratory Failure Receiving Non-invasive Mechanical Ventilation or High Flow Nasal Canula
NCT06892912 ·Status: ACTIVE_NOT_RECRUITING
-
Cardiac and Respiratory Function With Non-invasive Ventilation
NCT02699112 ·Status: COMPLETED
-
Efficacy and Safety of High-Flow Nasal Cannula Versus Noninvasive Ventilation for Pulmonary Arterial Hypertension-Associated Acute Respiratory Failure
NCT06582459 ·Status: ACTIVE_NOT_RECRUITING
-
Management of Post-operative Respiratory Failure by Using NIV and High Velocity Nasal Insufflation (HVNI)
NCT06988111 ·Status: RECRUITING ·Phase: NA
-
Efficacy of High Velocity Nasal Insufflation
NCT03929055 ·Status: UNKNOWN ·Phase: NA
-
Monitoring of Non-invasive Ventilation
NCT01845233 ·Status: COMPLETED
-
Intrinsic Respiratory Rate Assessment During Mechanical Ventilation to Accelerate Spontaneous Breathing and Extubation
NCT06445049 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Postextubation High-flow Therapy vs Noninvasive Ventilation in Obese or at High-risk Patients
NCT04125342 ·Status: COMPLETED ·Phase: NA
-
Cost Effectiveness of Outpatient Set-up of Automated NIV in Obese Patients With Chronic Respiratory Failure
NCT02342899 ·Status: COMPLETED ·Phase: PHASE3
-
Postextubation Use of Noninvasive Respiratory Support in Severely Obese Patients
NCT05918575 ·Status: RECRUITING ·Phase: NA
-
Noninvasive Ventilation After Extubation in Hypercapnic Patients
NCT01047852 ·Status: COMPLETED ·Phase: NA
-
Short Term Physiological Effects of Nasal High Flow Oxygen on Respiratory Mechanics
NCT02363920 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Postextubation High-Flow Nasal Cannula vs Noninvasive Ventilation in Patients With Hypercapnic COPD
NCT03928535 ·Status: UNKNOWN ·Phase: NA
-
Asymmetrical High Flow Oxygen Versus Noninvasive Ventilation in Acute Hypercapnic Respiratory Failure
NCT07157098 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Wean Obese Study : Determination of the Optimal Spontaneous Breathing Trial for Obese Patient
NCT01616901 ·Status: COMPLETED ·Phase: NA
-
Non Invasive Ventilation Combined to High Flow Nasal Cannula Oxygen for Preoxygenation of Hypoxemic ICU Patients
NCT02530957 ·Status: COMPLETED ·Phase: NA
-
Non-Invasive Ventilation Versus High-flow Nasal Oxygen in Intensive Care Units
NCT05686850 ·Status: RECRUITING ·Phase: NA