Role of HVNI in Severe Chest Trauma

Status Not yet recruiting

Clinical Trial Summary

to compare the respiratory complications in patient managed with high velocity nasal insufflation versus patients managed with conventional low flow oxygen in patients with severe chest trauma

Clinical Trial Description

- Chest trauma are associated with significant morbidity and mortality due to respiratory failure and pneumonia. - The two main goals of therapy are pain management and pulmonary care and support. There is strong evidence for providing good analgesia to facilitate volume expansion treatment and chest physiotherapy, aiming for deep breathing and effective cough to reduce secretions and prevent the atelectasis. - Oxygen supplementation is often included as supportive therapy added to bundles of care for patients of chest trauma with rib fractures. High -velocity nasal insufflation (HVNI ) was first developed for neonates and has gained increasing use in adult patients for prevention and treatment of respiratory failure. High-flow humidified oxygen with flow rates from 30 to100 L/min with high fraction of inspired oxygen( FiO2) is able to be delivered. Positive end-expiratory pressure can be generated, preventing alveoli collapse. The washout of carbon dioxide (CO2)and replacement with enriched O2 purportedly decreases work of breathing and increases breathing effectiveness. - Routine tests for chest injuries include chest X-rays and computed tomography (CT) scans. Ultrasound has the advantages of being inexpensive, readily available and being free of ionizing radiation . - In thoracic trauma cases, ultrasonography of the lungs is valuable for evaluating various chest diseases, including chest wall haematoma and fractures, pleural cavity involvement with pleural effusion, haemothorax, and pneumothorax. The ultrasound can also assess the reduce in lung aeration by changing the lung surface and generating distinct patterns as in pulmonary contusions and compression atelectasis. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT05692076
Study type	Interventional
Source	Assiut University
Contact	Mohamed Yasser, Bachelor's
Phone	01066249910
Email	my3939899@gmail.com
Status	Not yet recruiting
Phase	N/A
Start date	January 20, 2023
Completion date	September 20, 2025

View Details

See also
Status	Clinical Trial	Phase
Not yet recruiting	`NCT05054270` - Efficacy of Lung Ultrasound in Monitoring Fluid Resuscitation in Chest Trauma Patients
Recruiting	`NCT03664973` - Serratus Plane Block for Rib Fractures	N/A
Not yet recruiting	`NCT06078254` - Senstivity and Specificity of Lung Ultrasound for Early Detection of ARDS in Patients With Chest Trauma
Completed	`NCT01134744` - Evaluating Validity of Clinical Criteria for Requesting Chest X-Rays in Trauma Patients	N/A
Recruiting	`NCT03997630` - Management of Moderately Hypoxemic Thoracic Trauma	N/A
Completed	`NCT05342103` - High Flow Nasal Oxygenation Versus Non-invasive Ventilation for Patients With Blunt Chest Trauma	N/A
Not yet recruiting	`NCT03686579` - Chest Trauma :Prediction of Thoracic Injuries Clinically and Radiologically
Completed	`NCT04318496` - Acupuncture for Blunt Chest Trauma	N/A
Not yet recruiting	`NCT04541758` - Comparing the Efficacy of Conservative Treatment With Minimally Invasive Surgery in the Treatment of Rib Fractures	N/A
Completed	`NCT03797079` - Erector Spinae Plane Block Versus Thoracic Epidural Block for Chest Trauma	N/A
Recruiting	`NCT04193241` - Suturing With U-Technique Versus Un-Reapproximated Wound Edges During Removal of Closed Thoracostomy Tube Drain	N/A
Completed	`NCT05175781` - Sedation for Non-invasive Ventilation in Blunt Chest Trauma	N/A
Completed	`NCT04748003` - Acute Myocardial Dysfunction and Chest Trauma - The Strainy Trauma Study
Suspended	`NCT06264856` - Bronchoscopy for Thoracic Trauma Patients	N/A
Recruiting	`NCT05828030` - HFNC Compared With Facial Mask in Patients With Chest Trauma Patients	N/A