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Intrahospital Transport in Patients With High-flow Nasal Oxygenation: Prospective Observational Study

Completed
Conditions
Critical Illness
Registration Number
NCT05311007
Lead Sponsor
Centre Hospitalier R茅gional d'Orl茅ans
Brief Summary

High-flow nasal oxygen therapy is commonly used in intensive care unit (ICU). Intra-hospital transfer of critical patients is frequent: 1) to perform diagnostic 2) between emergency room or medical wards and ICU. During theses transfers, oxygenation should be continued.

There is high-flow nasal oxygen therapy for transport using an external battery. This mode of operation in transport mode allows about 30-45 min of autonomy.

Intra-hospital transport under high-flow nasal oxygen therapy has been previously described on children.

The objective of this study is to evaluate the occurrence of complications during intra-hospital transports under high-flow nasal oxygen of critical patients.

Detailed Description

High-flow nasal oxygen therapy is commonly used in intensive care unit (ICU). Intra-hospital transfer of critical patients is frequent: 1) to perform diagnostic 2) between emergency room or medical wards and ICU. During theses transfers, oxygenation should be continued.

There is high-flow nasal oxygen therapy for transport using an external battery. This mode of operation in transport mode allows about 30-45 min of autonomy.

Intra-hospital transport under high-flow nasal oxygen therapy has been previously described on children.

The objective of this study is to evaluate the occurrence of complications during intra-hospital transports under high-flow nasal oxygen of critical patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
175
Inclusion Criteria
  • Patient treated with high-flow nasal oxygen therapy before the intra-hospital transport prior to transport
  • Requiring an intra-hospital transport (e.g., CT scan, OR, etc.) or inter-departmental transport supervised by the ICU team

Nb: Once the patient is included in the study, any intra-hospital transport under high-flow nasal oxygen therapy will be analyzed until discharge from the intensive care unit and at until D28.

Exclusion Criteria
  • Under 18 years old
  • Patient being under guardianship, tutorship or curatorship
  • Pregnancy or breastfeeding
  • Lack of social security number
  • Refusal to participate in the study

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of severe adverse events during intra-hospital transportUp to 28 days

To evaluate the incidence of severe adverse events during intra-hospital transport of patients treated with high-flow nasal oxygen surpervised by an ICU staff.

Severe adverse event is defined by the occurrence of intubation during transport or severe hypoxemia defined as pulse oxygen saturation (SpO2 \< 80%) or cardiorespiratory arrest.

Secondary Outcome Measures
NameTimeMethod
Incidence of minor adverse events during intra-hospital transportUp to 28 days

To evaluate the incidence of minor adverse events during intra-hospital transport of patients treated with high-flow nasal oxygen surpervised by an ICU staff.

Minor adverse event is defined by the occurrence of the need to increase the FiO2 or a pull-out of nasal cannulas or the use of an alternative mode of oxygenation (standard oxygen or noninvasive ventilation) or a failure of high-flow nasal oxygenation system (ie battery failure)

Trial Locations

Locations (4)

Hospital Center of DAX

馃嚝馃嚪

DAX, France

CH de Martigues

馃嚝馃嚪

Martigues, France

CHR d'ORLEANS

馃嚝馃嚪

Orl茅ans, France

CH Bretagne Atlantique vannes-Auray

馃嚝馃嚪

Vannes, France

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