Diaphragmatic Work During HFNC and CPAP Support

NCT06249009 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 80

Last updated 2024-02-08

No results posted yet for this study

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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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT06249009 on ClinicalTrials.gov