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Clinical Trials/CTRI/2023/10/058352
CTRI/2023/10/058352
Not yet recruiting
Phase 4

A non-inferiority, randomized, controlled trial comparing high flow nasal cannula to non-invasive ventilation in patients with acute cardiogenic pulmonary edema in emergency room - nil

AIIMS BHUBANESWAR0 sites0 target enrollmentTBD
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ConditionsHealth Condition 1: I504- Combined systolic (congestive) anddiastolic (congestive) heart failure

Overview

Phase
Phase 4
Intervention
Not specified
Conditions
Health Condition 1: I504- Combined systolic (congestive) anddiastolic (congestive) heart failure
Sponsor
AIIMS BHUBANESWAR
Status
Not yet recruiting
Last Updated
2 years ago
OverviewInvestigatorsEligibility CriteriaOutcomesSimilar Trials

Overview

Brief Summary

No summary available.

Registry
who.int
Start Date
TBD
End Date
TBD
Last Updated
2 years ago
Study Type
Interventional

Investigators

Eligibility Criteria

Inclusion Criteria

  • •1\.Patients of age 18 to 80years, presenting to Emergency department with acute dyspnea, with clinical, radiological and ultrasonography evidence of acute cardiogenic pulmonary edema.
  • •2\.The patient must have substantial breathing difficulties that necessitate the use of non\-invasive ventilation techniques to provide relief which is assessed by following criteria
  • •2\.1 Respiratory rate(RR) \>25 breaths/min with signs of respiratory distress such as, use of accessory muscles of respiration
  • •2\.2 SpO2 \<90% on room air,PaO2/FiO2 \<200 with maximum oxygen supplementation by conventional methods.

Exclusion Criteria

  • •1\.Patients needing immediate endotracheal intubation due to severe respiratory distress and inability to maintain adequate oxygenation(SpO2 \<90% with oxygen supplementation)
  • •2\.Patients with cardiac or respiratory arrest
  • •3\.Patients with hemodynamic instability
  • •4\.Patients with a low Glasgow Coma Scale score \<10
  • •5\.Patients having excessive respiratory secretions
  • •6\.Agitated/Non\-cooperative patients
  • •7\.Patients associated with pulmonary diseases like AECOPD/pneumonia/interstitial lung disease/pneumothorax/lung metastasis/miliary TB
  • •8\.Patients with fluid overload due to chronic kidney disease
  • •9\.Patients with acute myocardial infarction
  • •10\.Patients with do\-not\-intubate order

Outcomes

Primary Outcomes

Not specified

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