GO2 PEEP Study: The Use of a Bidirectional Oxygenation Valve in the Management of Pulmonary Complications of COVID-19
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- COVID-19
- Sponsor
- Emory University
- Enrollment
- 2
- Locations
- 2
- Primary Endpoint
- Oxygen Saturation by Pulse Oximetry
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The objective of this study is to determine the safety, feasibility and efficacy of a bidirectional oxygenation Positive End Expiratory Pressure (PEEP) mouthpiece in coronavirus disease 2019 (COVID-19) patients requiring supplemental oxygen by non-rebreather mask.
Detailed Description
Severe cases of COVID-19 often mimic the typical course of Adult Respiratory Distress Syndrome (ARDS) and its predictable sequelae. These patients often require intubation and ventilator support in order to sustain adequate oxygenation. Once a COVID-19 patient is intubated, Positive End Expiratory Pressure (PEEP) is a mainstay of treatment and is used in order to improve lung function, treat underlying atelectasis, improve oxygenation, and improve survival. In fact, early clinical data as well as reports from front line physicians treating COVID-19 suggest that PEEP has been the most effective treatment modality. In many cases, PEEP has resulted in improved oxygenation and improved survival. PEEP decreases the propensity for the alveoli to collapse by increasing the air pressure in the lungs. This residual pressure in the lungs at the end of exhalation decreases shunting and allows for more complete gas exchange and improved oxygenation. In patients, PEEP is one of the safest ways to increase partial pressure of oxygen (PaO2) and is used on almost all modern ventilator settings. The GO2 PEEP MOUTHPIECE is a simple, comfortable, and straightforward mouthpiece with a bidirectional valve that effectively delivers PEEP with every breath. Early application of the GO2 PEEP MOUTHPIECE in non-intubated COVID-19 patients may improve outcomes and save lives. Furthermore, this device may allow for less strain on limited resources, especially ventilators. This PEEP mouthpiece could be employed under an oxygen non-rebreather mask to improve oxygenation and avoid intubation.
Investigators
Jeffrey Miller
Assistant Professor
Emory University
Eligibility Criteria
Inclusion Criteria
- •COVID-19 positive
- •Oxygen saturation \<92%
- •Able to provide informed consent
- •Receiving oxygen by non-rebreather mask
- •Not currently requiring intubation
Exclusion Criteria
- •Unable or unwilling to provide informed consent
- •Cognitive impairment
- •Rapidly decompensating status requiring urgent or emergent higher level of care
Outcomes
Primary Outcomes
Oxygen Saturation by Pulse Oximetry
Time Frame: Baseline, Minutes 5, 10, 15, 30 (15 minutes after treatment ends)
Pulse oximetry is a way to assess whether or not a patient needs help breathing. Oxygen saturation levels for healthy individuals are 95% and above.
Secondary Outcomes
- Respiratory Rate(Baseline, Minutes 5, 10, 15, 30 (15 minutes after treatment ends))
- Heart Rate(Baseline, Minutes 5, 10, 15, 30 (15 minutes after treatment ends))
- Blood Pressure(Baseline, Minutes 5, 10, 15, 30 (15 minutes after treatment ends))
- Count of Participants With Subjective Work of Breathing(Baseline, Minutes 5, 10, 15, 30 (15 minutes after treatment ends))