Prospective Development and Validation of an Objective Classification for Difficult Facemask Ventilation: the MASCAN Score
NCT07275502 · Status: ACTIVE_NOT_RECRUITING · Type: OBSERVATIONAL · Enrollment: 423
Last updated 2025-12-10
Summary
Difficult facemask ventilation remains poorly classified. Existing definitions rely on expert opinion and subjective rating of surrogates. This lack of standardization has led to highly variable reported incidences and inconsistencies in clinical practice and research.
This secondary analysis of the prospective observational MASCAN study aims to develop and validate a data-driven objective classification system for difficult facemask ventilation and to determine its diagnostic performance and calibration. Facemask ventilation was facilitated after anaesthesia induction in all patients. An independent observer systematically assessed potential indicators for difficult facemask ventilation that serve as candidate predictor variables for the fitting of a diagnostic multivariable logistic regression model and simplified score to classify difficult facemask ventilation. Cross-validated LASSO regression will be used for variable selection. The area under the receiver operating characteristic curve (AUROC) and calibration curves will be used to quantify the diagnostic performance and calibration, and optimal decision thresholds will be defined.
Conditions
- Airway Management
- Mask Ventilation
- Noninvasive Ventilation
Sponsors & Collaborators
-
Universitätsklinikum Hamburg-Eppendorf
lead OTHER
Principal Investigators
-
Martin Petzoldt, MD · University Medical Centre Hamburg-Eppendorf
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-11-07
- Primary Completion
- 2023-05-15
- Completion
- 2025-11-30
Countries
- Germany
Study Locations
More Related Trials
-
HFNC Compared With Facial Mask in Patients With Chest Trauma Patients
NCT05828030 ·Status: RECRUITING ·Phase: NA
-
Evaluation of Prolonged Apnea Supported by High Frequency Non-invasive Ventilation.
NCT02712190 ·Status: UNKNOWN ·Phase: NA
-
Gas Composition in the Hypopharynx During High-flow or Standard Oxygen Therapy Through Face Mask in Healthy Volunteers
NCT07019701 ·Status: COMPLETED ·Phase: NA
-
To Assess the Effectiveness of Three Distinct Mechanical Assisted Sputum Evacuation Apparatuses in the Treatment of Patients With Mechanical Ventilation-induced Atelectasis
NCT06631716 ·Status: NOT_YET_RECRUITING
-
Non-Invasive Ventilation in Amyotrophic Lateral Sclerosis
NCT00560287 ·Status: UNKNOWN ·Phase: PHASE4
-
VSV Versus PSV as a Weaning Mode of Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients
NCT03278795 ·Status: UNKNOWN ·Phase: NA
-
Patient Characteristics, Feasibility, and Outcomes of a Home Mechanical Ventilation Program in a Developing Country
NCT02927613 ·Status: COMPLETED
-
Factors Associated With Success of NIPPV in ALS Patients
NCT05581771 ·Status: COMPLETED
-
Benefits of High Flow Nasal Cannula Oxygen for Preoxygenation During Intubation in Non Severely Hypoxemic Patients
NCT02700321 ·Status: COMPLETED ·Phase: NA
-
High Flow During Weaning From Mechanical Ventilation
NCT05577221 ·Status: COMPLETED ·Phase: NA
-
High Flow Nasal Cannula Versus Non Invasive Positive Pressure Ventilation in Reducing The Rate of Reintubation
NCT06029699 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Clinical Efficacy in Relief of Dyspnea by HVNI: Evaluation of New Cannulae Designs
NCT04512781 ·Status: COMPLETED ·Phase: NA
-
Comparison Between High-flow Nasal Cannula System and Non-invasive Ventilation in Acute Hypoxemic Respiratory Failure
NCT01166256 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
BEACON Care ® System Assisting Ventilation in Pressure Support Ventilation (PSV) Patient
NCT02760147 ·Status: COMPLETED ·Phase: NA
-
Nightime NIV Initiation in Amyotrophic Lateral Sclerosis in an Outpatient Setting
NCT02759003 ·Status: COMPLETED ·Phase: NA
-
Effect of Head Rotation on Efficiency of Face Mask Ventilation in Anesthetized Apneic Adults
NCT02755077 ·Status: COMPLETED ·Phase: NA
-
Effects of High Flow Nasal Cannula on Deadspace Reduction and Regional Distribution of Ventilation
NCT02460653 ·Status: UNKNOWN ·Phase: NA
-
The Effect of Mask Design on Transcutaneous Carbon Dioxide in Healthy Volunteers: A Pilot Clinical Investigation
NCT06670482 ·Status: COMPLETED ·Phase: NA
-
High Flow Nasal Cannula Versus Non-invasive Ventilation in Prevention of Escalation to Invasive Mechanical Ventilation in Patients With Acute Hypoxemic Respiratory Failure
NCT03788304 ·Status: UNKNOWN ·Phase: NA
-
Comparison of Modified With Conventional Adaptive Servoventilation Processes
NCT01037439 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Lung Deposition of Aerosol Via HFNC in Healthy Adults
NCT02519465 ·Status: UNKNOWN ·Phase: NA
-
Humidified High Flow Nasal Cannula as Compared to Nasal Continuous Positive Airway Pressure
NCT00356668 ·Status: COMPLETED ·Phase: PHASE3
-
Safety Study of Non-invasive Ventilation Versus High-flow Oxygen in Patients With Hypoxemic Respiratory Failure Undergoing Fiberoptic Bronchoscopy.
NCT01870765 ·Status: COMPLETED ·Phase: NA
-
Role of High Flow Nasal Oxygen as a Strategy for Weaning From Invasive Mechan
NCT04657796 ·Status: UNKNOWN
-
Helmet Noninvasive Ventilation vs. High-flow Nasal Cannula in Moderate-to-severe Acute Hypoxemic Respiratory Failure
NCT04502576 ·Status: COMPLETED ·Phase: NA