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Набор скоро начнётся NCT06182956

NIV Versus HFO for Acute Exacerbations of Interstitial Lung Diseases

Без фазы С лечением Interstitial Lung Disease Acute Respiratory Failure

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 →
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

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗