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临床试验/NCT07308171
NCT07308171尚未招募不适用

Nasal Airflow to Modulate Dyspnea in Tracheostomized Patients

Assistance Publique - Hôpitaux de Paris0 个研究点目标入组 24 人开始时间: 2026年2月1日最近更新:
干预措施

试验速览

阶段
不适用
状态
尚未招募
入组人数
24
主要终点
Dyspnea

研究概览

简要总结

The hypothesis of the present study is that restoring nasal stimulation alleviates dyspnea and improves respiratory drive. The aim of this study is to compare three non-pharmacological approaches designed to restore nasal stimulation (continuous nasal airflow, nasal sprays, and facial airflow) in tracheotomized patients dependent on mechanical ventilation.

详细描述

Nasal stimulation is generated by breathing, which enables olfaction and helps to rhythm brain activity. The loss of nasal stimulation in tracheotomized patients who are dependent on mechanical ventilation may negatively affect respiratory drive and contribute to dyspnea. Restoring nasal airflow therefore emerges as an attractive non-pharmacological approach to treat dyspnea in patients undergoing mechanical ventilation weaning.

The hypothesis of the present study is that restoring nasal stimulation alleviates dyspnea and improves respiratory drive. The aim of this study is to compare three non-pharmacological approaches designed to restore nasal stimulation (continuous nasal airflow, nasal sprays, and facial airflow) in tracheotomized patients dependent on mechanical ventilation.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

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

入选标准

  • Age ≥ 18 years
  • Tracheostomy and mechanical ventilation
  • Consent to participate
  • Affiliation to health insurance

排除标准

  • Agitation, delirium
  • Continuous use of sedatives
  • Patients under law protection
  • Patients without health insurance
  • Breastfeeding and pregnancy

研究组 & 干预措施

Patients ventilated

Experimental

Baseline ventilator settings under pressure support

干预措施: Baseline (Procedure)

Patients ventilated

Experimental

Baseline ventilator settings under pressure support

干预措施: Installation of high flow humidified air cannula (Procedure)

Patients ventilated

Experimental

Baseline ventilator settings under pressure support

干预措施: Nasal air puffs (Procedure)

Patients ventilated

Experimental

Baseline ventilator settings under pressure support

干预措施: propeller fan (FAN) (Procedure)

结局指标

主要结局

Dyspnea

时间窗: minute 20

visual analogical scale

次要结局

  • airway occlusion pressure(minute 20)
  • end expiratory occlusion pressure(minute 20)
  • respiratory electromyogram (EMG)(minute 20)
  • tolerance(minute 20)

研究者

申办方类型
Other
责任方
Sponsor

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