MedPath

Continuous Positive Airway Pressure Effect on Air Trapping in Chronic Obstructive Pulmonary Disease Patients

Not Applicable
Completed
Conditions
Chronic Obstructive Pulmonary Disease
Interventions
Device: positive ventilation
Registration Number
NCT01507844
Lead Sponsor
Assaf-Harofeh Medical Center
Brief Summary

Chronic obstructive pulmonary disease is a disease characterized by small airways inflammation and obstruction. The small airways disease produces hyperinflation (air trapping), which increases with exercise. Continuous positive airways pressure may reduce small airways obstruction and therefore air trapping. Pulmonary function tests including lung volumes at rest and and after exercise will be measured. In addition, exercise endurance time before treatment and after treatment will be measured.

Detailed Description

Continuous positive airways pressure which prevent small air ways collapse and may also clear secretions. At first stage the optimal pressure for reducing air trapping will be determined. In addition, all patients will undergo a maximal exercise test. A baseline complete pulmonary function test is performed followed by continuous positive air way pressure at the pre-determined pressure. This will be followed by exercise at 60% of maximal obtained previously.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  • chronic obstructive lung disease stage 2-3 GOLD
  • FRC > 120%
Exclusion Criteria
  • active ischemic heart disease
  • heart failure
  • peripheral vascular disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
ventilationpositive ventilation-
Primary Outcome Measures
NameTimeMethod
improved small airways obstruction2-3 hrs

Following CPAP ventilation measurement be repeated for 3 hrs

Secondary Outcome Measures
NameTimeMethod
improved respiratory symptoms2-3 hrs

CAT score

Trial Locations

Locations (1)

Pulmonary Institute

🇮🇱

Beer Yaakov, Israel

© Copyright 2025. All Rights Reserved by MedPath