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Clinical Trials/TCTR20160902001
TCTR20160902001Completed未知

The physiologic study of high-flow nasal oxygen cannula in patients with chronic obstructive pulmonary disease with acute exacerbation requiring ventilator support

Faculty of Medicine Siriraj Hospital0 sites12 target enrollmentStarted: September 2, 2016Last updated:
Conditions

Trial Snapshot

Phase
未知
Status
Completed
Enrollment
12

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional

Eligibility Criteria

Ages
40 Years to 85 Years (—)
Sex
All

Inclusion Criteria

  • 1. Age 40-85 years old
  • 2. Patients who was diagnosed COPD classified by GOLD criteria (post-bronchodilator FEV1/FVC < 70%)
  • 3. Acute exacerbation of COPD with indication for NIV use as follows
  • - Acute respiratory acidosis (pH/=45 mmHg)
  • - Respiratory rate > 24 breaths/min
  • - Accessory muscles use or abdominal paradox breathing

Exclusion Criteria

  • 1. pH < 7.25
  • 2. Severe hypoxemia
  • 3. Alteration of consciousness and uncooperative (GCS < 8)
  • 4. Hemodynamic instability or serious cardiac problem e.g hypotension, malignant arrhythmia, myocardial ischemia
  • 5. Facial abnormality or recent facial/upper GI tract surgery
  • 6. Uncontrolled airway or upper GI bleeding
  • 7. Contraindication for insertion of esophageal balloon catheter - ulcer, varices, tumor, recent esophageal/gastric surgery, bleeding diathesis or allergy to lidocaine

Investigators

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