Correcting Hypocapnia in Aneurysmal Subarachnoid Hemorrhage.
NCT07343232 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 80
Last updated 2026-01-15
Summary
Based on the clinical observation that over half of the patients in the management of aneurysmal subarachnoid hemorrhage(aSAH) present with spontaneous hyperventilation, which is significantly associated with delayed cerebral ischemia and poor neurological outcomes, this prospective pilot study is designed to investigate the safety and efficacy of normobaric facemask oxygen for hypocapnia in aSAH.
Conditions
- Aneurysmal Subarachnoid Hemorrhage (aSAH)
Interventions
- BEHAVIORAL
-
Normobaric Facemask Oxygen
Oxygen is to be delivered via a rebreathing facemask (ensuring no one-way valve is present), with a fractional inspired oxygen (FiO2) of 25-41% and an oxygen flow rate of ≤ 5 L/min. The goals are to maintain patient SpO2 \> 95%, PaCO2 between 35-42 mmHg, and, where feasible (particularly in centers with the capability for monitoring), an intracranial pressure (ICP) of \< 15 mmHg.
- BEHAVIORAL
-
control group
Using nasal cannula for oxygen inhalation or not using oxygen inhalation at all. Monitor and record the patient's SpO2, systolic blood pressure, diastolic blood pressure, PaCO2, and also monitor the intracranial pressure (ICP) at a center with monitoring capabilities.
Sponsors & Collaborators
-
The Chinese University of Hong Kong, Shenzhen
lead OTHER
Principal Investigators
-
Renzhi Wang, MD · CUHK-Shenzhen
-
Xinyu Yang · CUHK-Shenzhen
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-01-01
- Primary Completion
- 2026-09-30
- Completion
- 2026-10-30
Countries
- China
Study Locations
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