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临床试验/NCT05721833
NCT05721833Unknown不适用

Effect of Noninvasive High Frequency Oscillatory Ventilation on Improving Carbon Dioxide Clearance in COPD Patients : a Clinical Crossover Trial

Guangzhou Institute of Respiratory Disease0 个研究点目标入组 12 人开始时间: 2023年2月10日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
12
主要终点
Partial pressure of carbon dioxide in peripheral blood

研究概览

简要总结

High-frequency oscillatory ventilation (HFOV), as an ideal lung-protecting ventilation method, has been gradually used in neonatal critical care treatment, and is currently recommended as a rescue method for neonatal acute respiratory distress syndrome (ARDS) after failure of conventional mechanical ventilation. . Although its ability to improve oxygenation and enhance carbon dioxide (CO2) scavenging has been repeatedly demonstrated in laboratory studies, its impact on clinical outcomes in these patients remains uncertain. Non-invasive high-frequency oscillatory ventilation (nHFOV) combines the advantages of HFOV and non-invasive ventilation methods, and has become a current research hotspot in this field. It is recommended to be used to avoid intubation after conventional non-invasive ventilation therapy fails. For the treatment of intubation, there is still a lack of large-scale clinical trials to systematically explore its efficacy. The gradual increase in the clinical application of nHFOV has also enriched its use in the treatment of other diseases

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Treatment
盲法
None

入排标准

年龄范围
40 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age 40-80, males and females;
  • Stage III and IV COPD and PaCO2≥50mmHg;
  • Similar with non-invasive ventilation;
  • Willing to participate in the study;
  • Able to provide informed consent.

排除标准

  • Bronchiectasis; post-tuberculosis sequelae; rib cage deformities; neuromuscular disorders; and bronchial carcinoma.
  • Intolerant with NIV

结局指标

主要结局

Partial pressure of carbon dioxide in peripheral blood

时间窗: within 50 minutes after intervention

After the peripheral blood was arterialized for 10 minutes, 100 ul of the patient's finger peripheral blood was taken to measure the partial pressure of carbon dioxide in the peripheral blood.

次要结局

  • Asynchrony index(within 50 minutes after intervention)

研究者

发起方
Guangzhou Institute of Respiratory Disease
申办方类型
Other
责任方
Principal Investigator
主要研究者

Jianyi Niu

Principle investigator

Guangzhou Institute of Respiratory Disease

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