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Non-Positive Pressure Ventilation in Hypoxemic Patients

Phase 4
Completed
Conditions
Acute Respiratory Failure
Registration Number
NCT00925860
Lead Sponsor
Hospital Provincial de Castellon
Brief Summary

The study is aimed to assess the possible benefit of non-positive pressure mechanical support in front of conventional ventilation in patients admitted to the intensive care unit (ICU) because of pure hypoxemic respiratory failure.

Detailed Description

Pure hypoxemic patients admitted to intensive care unit in a teaching hospital have been randomized to be treated by conventional ventilatory support or non-positive mechanical ventilation support. Those patients who did not benefit from the experimental non-positive ventilatory support, were intubated and conventionally mechanically ventilated and discarded for analysis. The primary outcome was mortality rate in both groups, and secondary outcomes were length of stay, improvement of oxygenation, and reduced complications rates.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
64
Inclusion Criteria
  • dyspnea with respiratory rates higher than 35 p.m.
  • pO2 < 65 mmHg
  • paO2/FiO2 < 250
Exclusion Criteria
  • respiratory or cardiac arrest
  • gastrointestinal bleeding
  • hemodynamic instability
  • face surgery
  • upper airway obstruction
  • inability for active cooperation
  • need for airway protection
  • exacerbation of COPD
  • decrease of conscious level
  • acute pulmonary cardiogenic oedema

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
mortality ratespatient hospital discharge
Secondary Outcome Measures
NameTimeMethod
oxygenation improvepatient hospital discharge
diminishing of tracheal intubation incidencepatient hospital discharge
ICU and Post ICU hospital length of staypatient hospital discharge

Trial Locations

Locations (1)

Intensive Care Department - General Hospital

🇪🇸

Castello, Spain

Intensive Care Department - General Hospital
🇪🇸Castello, Spain

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