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 · Type: OBSERVATIONAL · Enrollment: 100
Last updated 2026-05-18
Summary
The primary goal of this study is to assess diaphragm function in patients with acute respiratory failure before and during the use of high-flow oxygen and/or non-invasive breathing support. The key question it seeks to answer is:
1\. How do ultrasound measurements of diaphragmatic function vary with different levels of breathing support in patients with acute respiratory failure? Participants with acute respiratory failure will undergo diaphragmatic ultrasound evaluation as part of their standard medical care at various levels of respiratory support.
Conditions
- Respiration Disorders
Interventions
- OTHER
-
Diaphragmatic ultrasound
Sample: Given the observational nature of the study, a convenience sample will be obtained from all patients admitted to the emergency services and/or ICU with respiratory failure over the course of 1 year. Inclusion Criteria: * Age ≥ 18 years * Hypoxemic respiratory failure (SpO2 \< 88% - PaO2 \< 60 mmHg) or hypercapnic (PaCO2 \> 40) * Need for NIMV and/or HFNC. Exclusion Criteria: * Neuromuscular disease * Pregnancy * Tracheostomy * Rib fractures * Cervical injuries * Diaphragmatic paralysis * Diaphragmatic malformations * Hemodynamic instability * Morbid obesity (BMI \> 35) * Use of sedation and neuromuscular relaxants * Pneumothorax or pneumomediastinum * Poor acoustic window * Critically ill patients with a prognosis of less than 24 hours of life * Patients receiving palliative interventions.
Sponsors & Collaborators
-
Foro Internacional en Cuidado Crítico
lead OTHER
Principal Investigators
-
Carlos A Santacruz H, MD, PhD · Foro Internacional en Cuidado Crítico
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-08-02
- Primary Completion
- 2026-10-01
- Completion
- 2026-10-01
Countries
- Colombia
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