The Effect of Non-invasive Respiratory Support on Outcome and Its Risks in Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV-2)-Related Hypoxemic Respiratory Failure
NCT06033560 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 6000
Last updated 2023-09-13
Summary
Coronavirus disease (COVID-19) can result in severe hypoxemic respiratory failure that ultimately may require invasive mechanical ventilation in the Intensive Care Unit (ICU). Although lifesaving, invasive mechanical ventilation is associated with high mortality, severe discomfort for patient, long-term sequelae, stress to loved-ones and high costs for society. During the ongoing pandemic high number of invasively ventilated COVID-19 patients overwhelmed ICU capacity.
Non-invasive respiratory support, such as high flow nasal oxygen (HFNO) or non-invasive ventilation (NIV) have the potential to reduce the risk for invasive mechanical ventilation and in selected cases ICU admission. However, data from different studies are conflicting and studies performed in COVID-19 patients are of limited quality. Furthermore, identification of early predictors of HFNO/NIV treatment failure may prevent unnecessary delay of initiation of invasive ventilation, which may be associated with adverse clinical outcome. The development and validation of a prediction model, that incorporates readily available clinically data may prove pivotal to fine-tune non-invasive respiratory support.
The overall aim of the NORMO2 project is to investigate the role and risks of HFNO and NIV to improve outcome in hospitalized hypoxemic COVID-19 patients.
Conditions
- COVID-19
- Hypoxemic Respiratory Failure
Interventions
- DEVICE
-
High flow nasal oxygen (HFNO, more than 15 L/min)
Non-invasive respiratory support strategy
Sponsors & Collaborators
-
Amsterdam UMC, location VUmc
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-09-06
- Primary Completion
- 2023-10-31
- Completion
- 2023-11-30
Countries
- Netherlands
Study Locations
More Related Trials
-
Correlation of Peak Tidal Inspiratory Flow Measured Before and After Extubation in Adult Patients With Hypoxemia
NCT04971148 ·Status: TERMINATED ·Phase: NA
-
Respiratory Variability in Patients With Acute Hypoxemic Respiratory Failure and Placed on High Flow Oxygen Therapy
NCT06675045 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Early-initiated High Flow Oxygen Therapy vs Conventional Oxygen Therapy Among Patients With ARDS in the Course of SARS-CoV2 Pneumonia.
NCT05197686 ·Status: UNKNOWN ·Phase: NA
-
Awake Prone Positioning in COVID-19 Suspects With Hypoxemic Respiratory Failure
NCT04853979 ·Status: COMPLETED ·Phase: NA
-
Comparison of Non-invasive Oxygenation Strategies in Patients Admitted for Covid-19 Acute Respiratory Distress Syndrome
NCT04725084 ·Status: COMPLETED
-
Use of Oxygen Hoods in Patients Failing on Conventional High-flow Oxygen Delivery Systems, Effects on Oxygenation in Hypoxic COVID-19 Patients. Prospective Cohort Study.
NCT04407260 ·Status: COMPLETED
-
Awake Prone Positioning of Patients Suffering Community Acquired Pneumonia Requiring Nasal High Flow Therapy
NCT06966310 ·Status: RECRUITING ·Phase: NA
-
Use of High Flow Nasal Cannula Oxygen and Covid-19 Acute Hypoxemic Respiratory Failure
NCT04385823 ·Status: COMPLETED
-
Prone Position in Patients on High-flow Nasal Oxygen Therapy for COVID-19 (HIGH-PRONE-COVID-19)
NCT04358939 ·Status: COMPLETED ·Phase: NA
-
Characteristics and Outcomes of Patients With COVID-19 Treated With HFNO and Prone Positioning
NCT05178212 ·Status: COMPLETED
-
Impact of High-level Oxygen Therapy on the Reconditioning of Type I Hypoxemic Respiratory Insufficiency Patients in Intensive Care
NCT04022603 ·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
-
Safety Study of Non-invasive Ventilation Versus High-flow Oxygen in Patients With Hypoxemic Respiratory Failure Undergoing Fiberoptic Bronchoscopy.
NCT01870765 ·Status: COMPLETED ·Phase: NA
-
Efficacy of HFNC Combined With Sequential NIV in Patients With COPD Complicated With Type II Respiratory Failure
NCT06992479 ·Status: COMPLETED ·Phase: NA
-
Conduct of Nasal High Flow Oxygen in Acute Respiratory Failure
NCT03311087 ·Status: UNKNOWN
-
Automated Secretion Removal in ICU Patients
NCT05056103 ·Status: TERMINATED ·Phase: NA
-
NIV in Covid-19 Respiratory Failure
NCT05020691 ·Status: TERMINATED
-
HFNC and NIV for COVID-19 Complicated by Respiratory Failure
NCT04452708 ·Status: COMPLETED
-
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
-
INSPIRatory Efforts Estimation Under High-flow Nasal Oxygen
NCT07228676 ·Status: COMPLETED ·Phase: NA
-
Nitric Oxide Gas Inhalation for Severe Acute Respiratory Syndrome in COVID-19.
NCT04290871 ·Status: WITHDRAWN ·Phase: PHASE2
-
Use of Combined Prone Positioning and High-Flow Nasal Cannula, and Non-invasive Positive Pressure Ventilation to Prevent Intubation in COVID-19 Infection
NCT04694638 ·Status: COMPLETED ·Phase: NA
-
Acute Respiratory Failure and COVID-19 in Real Life
NCT04307459 ·Status: COMPLETED
-
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
-
Efficacy and Safety of High-Flow Nasal Cannula Versus Noninvasive Ventilation for Pulmonary Arterial Hypertension-Associated Acute Respiratory Failure
NCT06582459 ·Status: ACTIVE_NOT_RECRUITING