NIV Versus HFO for Acute Exacerbations of Interstitial Lung Diseases
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Noninvasive mechanical ventilation, Nasal high-flow oxygen therapy, Continuous positive airway pressure.
- Кому может быть актуально
- Состояния в реестре: Interstitial Lung Disease, Acute Respiratory Failure. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Франция
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Evaluation of Physiological Effects of Noninvasive Mechanical Ventilation and High-flow Oxygen Therapy for Acute Exacerbations of Interstitial Lung Diseases
Обзор
The objectives of this study are to compare the physiological consequences of high-flow oxygen therapy and noninvasive mechanical ventilation on ventilation, respiratory work and hemodynamics during acute respiratory failure in diffuse interstitial pneumonia.
Вмешательства
- Устройство Noninvasive mechanical ventilation
Noninvasive mechanical ventilation is a respiratory technique which allows the administration of positive inspiratory and expiratory airway pressures in order to ventilate the lungs. - Устройство Nasal high-flow oxygen therapy
Nasal high-flow is a respiratory technique which allows the administration of warmed and humidified air, associated with oxygen. - Устройство Continuous positive airway pressure
Continuous positive airway pressure is a respiratory technique which allows to maintain a constant positive airway pressure during inspiration and expiration.
Первичные конечные точки
- Pulmonary compliance [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
Вторичные конечные точки (12)
- Pulmonary compliance [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
- Pulmonary compliance [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
- Pulmonary compliance [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
- Pulmonary compliance [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
- Pulmonary compliance [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
- Tidal volume [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
- Tidal volume [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
- Tidal volume [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
- Tidal volume [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
- Tidal volume [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
- Tidal volume [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
- end-expiratory lung volume [Срок оценки: During the intervention, after an exposure of 30 minutes to the oxygen therapy device]
Критерии участия
Критерии включения
- Age > 18 yrs
- Hospitalization in intensive care unit
- Acute exacerbation of a previously/presently documented diffuse (fibrotic) interstitial lung disease
- Dyspnea majoration since at least 1 month
- Alveolar or ground-glass opacities on CT-scan that are superposed to interstitial lung disease and not explained by left heart failure or volume overload
- Hypoxemia requiring oxygen flows > 6 L/min
Критерии исключения
- Contraindication to noninvasive ventilation or high-flow oxygen therapy
- Immediate indication to endotracheal intubation or hemodynamic assistance
- Body mass index > 40
- Presence of a pacemaker or an implantable defibrillator
- Presence of cutaneous lesions where Pulmovista® belt should be placed
- Moribund patient
- Pregnant or breastfeeding women or women of childbearing age without an effective method of contraception
- Protected adult patient (tutorship or curatorship)
- Patient deprived of liberty by court or administrative decision
- No possibility to install nasogastric tube
- Endotracheal or tracheostomy tube requirement during the study
- Hemodynamic assistance requirement during the study
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Перекрёстный дизайн
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
Франция · 1 центр
- ADIR Association — Rouen
Идентификаторы
NCT: NCT06182956 · IRAPIDPhysio