Diaphragmatic Work During HFNC and CPAP Support
NCT06249009 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 80
Last updated 2024-02-08
Summary
The goal of this randomised controlled, cross-over clinical trial is to compare High Flow Nasal Cannulas (HFNC) and Continuous Positive Airways Pressure (CPAP) in neonates over 34 weeks' amenorrhoea (SA) up to children weighing less than 20 kg with respiratory failure.
The main question it aims to answer is the non-inferiority of high flows of high-flow nasal cannula compared with CPAP by analysis of diaphragmatic contraction (EAdi (Electrical activity of diaphragm)).
Participants with respiratory failure and need of non invasive ventilation and nasogastric tube will receive 4 different increasing flows of HFNC and Positive End-Expiratory Pressure of 7 cmH2O with CPAP during 30 minutes for each flow rate and CPAP. The electrical activity of diaphragm and clinical data of the patient upon each flow and support will be collected. According to the cross-over procedure, the patients will change groups (increasing flows of HFNC or CPAP) in order to perform the remaining analysis.
Conditions
- Respiratory Insufficiency in Children
- Newborn Rds
- Nasal Cannula
- CPAP Ventilation
Interventions
- DEVICE
-
Non invasive ventilation
CPAP and increasing flows of HFNC will be compared during a 30-minutes period each
Sponsors & Collaborators
-
Maquet Critical Care AB
collaborator INDUSTRY -
Fisher and Paykel Healthcare
collaborator INDUSTRY -
University Hospital, Clermont-Ferrand
lead OTHER
Principal Investigators
-
Nadia Savy · University Hospital, Clermont-Ferrand
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 34 Weeks
- Max Age
- 6 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-11-27
- Primary Completion
- 2025-11-27
- Completion
- 2025-11-27
Countries
- France
Study Locations
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