Unique ID issued by UMIN | UMIN000014133 |
---|---|
Receipt number | R000016417 |
Scientific Title | Evaluation of the PEEP effect of nasal high flow compared with non-invasive positive pressure ventilation |
Date of disclosure of the study information | 2014/06/01 |
Last modified on | 2018/01/13 23:05:13 |
Evaluation of the PEEP effect of nasal high flow compared with non-invasive positive pressure ventilation
Evaluation of the PEEP effect of nasal high flow
Evaluation of the PEEP effect of nasal high flow compared with non-invasive positive pressure ventilation
Evaluation of the PEEP effect of nasal high flow
Japan |
Patients receiving non-invasive positive pressure ventilation for respiratory failure
Medicine in general | Surgery in general |
Others
NO
To evaluate the PEEP effect of nasal high flow (NHF) as compared with non-invasive positive pressure ventilation (NPPV) through evaluation of respiratory parameters including blood gas analysis after weaning from NPPV to NHF
Efficacy
The difference of partial pressure of arterial oxygen tension to inspiratory oxygen fraction ratio and respiratory ratio between NHF and NPPV
The rate of rescue NIV therapy and intubation, the frequency of respiratory failure, the duration of NHF therapy, the length of ICU stay after weaning from NIV, and acceptability of NHF therapy compared with NIV
Observational
20 | years-old | <= |
Not applicable |
Male and Female
Among patients under management of NPPV for more than 24 hours, those who meet the following criteria at the 5cmH2O PEEP level; 1) 300 > P/F ratio > 200 2) 15 < respiratory rate < 30/min
Patients younger than 18 years old or with Glasgow Coma Scale less than 14 or with body mass index (BMI) more than 30
20
1st name | |
Middle name | |
Last name | Takuya Kurazumi |
Kawasaki Municipal Hospital
Anesthesiology
12-1 Shinkawadori, Kawasaki-ku, Kawasaki-shi, Kanagawa 210-0013 Japan
044-233-5521
takfromnarita@yahoo.co.jp
1st name | |
Middle name | |
Last name | Takeshi Suzuki |
Keio University School of Medicine
Department of Anesthesiology
35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan
03-3353-1211
takeshi-su@a7.keio.jp
Kawasaki Municipal Hospital
Kawasaki Municipal Hospital
Self funding
NO
2014 | Year | 06 | Month | 01 | Day |
Published
Completed
2012 | Year | 08 | Month | 20 | Day |
2012 | Year | 09 | Month | 01 | Day |
In patients who met the weaning criteria, the respiratory setting of NPPV was changed to continuous positive airway pressure (CPAP) mode with PEEP of 4 cmH2O and FIO2 equal to or less than 0.5. Blood gas analysis and evaluation of respiratory rate were performed one hour after changing the respiratory setting. Thereafter, NIV was interrupted and humidified high-flow oxygen via NHF system was delivered through a wide-bore nasal cannula at the following setting; gas flow 50 l/min and FIO2 equal to or less than 0.5. One hour after the application of NHF, blood gas analysis and evaluation of respiratory rate were performed, and compared with those during NPPV management. In the historical control group who were weaned from NPPV to oxygen mask, the same evaluation of respiratory parameters was performed.
2014 | Year | 05 | Month | 31 | Day |
2018 | Year | 01 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000016417