A Clinical Trial on Effectiveness and Safety of Inhaling Hydrogen-oxygen to Decreases Inspiratory Effort for the Patients With Tracheal Stenosis: A Randomized, Double-blind and Single-center Clinical Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Tracheal Stenosis
- Sponsor
- Guangzhou Institute of Respiratory Disease
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Change in sRMSdi/para/sc, RMSdi, Pdi& MIP from baseline after inhalation by bench study.
- Last Updated
- 9 years ago
Overview
Brief Summary
Investigators aim to study the effectiveness and safety of inhaling hydrogen-oxygen which produced by a hydrogen generator with nebulizer to decreases inspiratory effort for the patients with tracheal stenosis.
Investigators
ShiYue Li
Professor of Guangzhou Institute of Respiratory Disease
Guangzhou Institute of Respiratory Disease
Eligibility Criteria
Inclusion Criteria
- •Aged from 18 to 65;
- •Diagnosed moderate/severe tracheal stenosis by chest CT and/or bronchoscopy;
- •Difficulty breathing symptoms
- •Agree to participate in this trial and sign the informed consent form.
Exclusion Criteria
- •Those who were suffered from respiratory failure or more severe caused by dyspnea;
- •Combined other serious systemic diseases (severe arrhythmia, acute myocardial ischemia, uncontrollable hypertension crisis, active gastric ulcer, uncontrolled diabetes, renal failure, blood system diseases or coagulation dysfunction);
- •Those who were suffered from severe mental illness or could not take care of themselves;
- •Pregnant or lactating women;
- •Those who could not understand the trial procedures and correctly the trial equipment;
- •Those who participated in other clinical trials in the first 3 months before the screening date.
- •Quit criteria
- •The subjects requiring emergency intubation or other intervention or surgical treatment due to worsened tracheal stenosis;
- •Subjects who had severe adverse events during treatment;
- •Subjects who did not want to continue to participate in the trial;
Outcomes
Primary Outcomes
Change in sRMSdi/para/sc, RMSdi, Pdi& MIP from baseline after inhalation by bench study.
Time Frame: Baseline, 10min, 20min, 30min, 40min, 50min, 90min and 150min
sRMSdi/para/sc: root-mean-square of diaphragm/parasternal/sternocleidomastoid surface electromyography; RMSdi: root-mean-square of diaphragm electromyography; Pdi: Transdiaphragmatic pressure; MIP:maximal inspiratory pressure.
Secondary Outcomes
- Change in Borg score for dyspnea after inhalation.(Baseline, 10min, 20min, 30min, 40min, 50min, 90min and 150min)
- Change in symptom of dyspnea from baseline after inhalation.(Baseline, 10min, 20min, 30min, 40min, 50min, 90min and 150min)
- Change in signs(BR, HR, BP, el) from baseline after inhalation(Baseline, 10min, 20min, 30min, 40min, 50min, 90min and 150min)
- Change in PaO2, PaCO2, PH& HCO3- after inhalation(Baseline and 150min)
- FEV1 & FVC(Baseline)
- Change in impulse oscillometry variables(R5,R20,X5,AX,RF) as change from baseline when inhaling.(Baseline and inhaling)
- Change in cough waves from baseline when inhaling(Baseline, Inhaling.)
- Grades of airway stenosis by bronchoscopy(baseline)