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Respiratory Aspiration clinical trials

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NCT ID: NCT03345199 Completed - Multiple Sclerosis Clinical Trials

Effects of Inspiratory Muscle Training in Persons With Advanced Multiple Sclerosis

Start date: October 28, 2017
Phase: N/A
Study type: Interventional

This study evaluates the effects of a 10-week inspiratory muscle training on the outcomes of respiratory muscle strength, fatigue, activity participation, and respiratory infection rates in persons with advanced Multiple Sclerosis (MS). Participants will perform daily exercise using the Threshold Inspiratory Muscle Trainer (IMT) device during the training period. The study will assess whether the participants improve after the training, and whether the effects can be maintained after the training ends.

NCT ID: NCT03339466 Completed - Single-ventricle Clinical Trials

Inspiratory Muscle Therapy in Subjects With Fontan Circulations

Start date: January 29, 2016
Phase: N/A
Study type: Interventional

Individuals who have undergone the Fontan procedure are uniquely dependent upon respiratory mechanics to support pulmonary blood flow (PBF). The investigators hypothesized that enhanced respiratory muscle function via inspiratory muscle training (IMT) would improve performance on cardiopulmonary exercise stress testing (CPET).

NCT ID: NCT03335904 Completed - Hypoxia Clinical Trials

AT1R Blockade and Periodic Breathing During Sleep in Hypoxia

Start date: January 1, 2018
Phase: Phase 4
Study type: Interventional

Sleep disordered breathing (SDB) is characterized by regular periods of no breathing (apnea) or low levels of breathing (hypopnea) and leads to repeated periods of low oxygenation, termed intermittent hypoxia that causes fluctuations in blood oxygen levels. This leads to increased peripheral chemoreflex sensitivity that is thought to occur through the stimulation of angiotensin-II, type-I receptors (AT1R) that are expressed primarily on glomus cells within the peripheral chemoreflex and ultimately results in long lasting hypertension. The goal of this study is to determine if AT1R receptor blockade can prevent the increase in chemoreflex sensitivity following one night of hypoxia and improve the severity of SDB.

NCT ID: NCT03326830 Completed - Clinical trials for Acute Respiratory Failure With Hypoxia

Prehospital High-Flow Nasal Oxygen Therapy

PRHOXY-1
Start date: December 21, 2017
Phase: N/A
Study type: Interventional

The purpose of the present project is to compare High-Flow Nasal Oxygen therapy with Standard Oxygen therapy, initiated in the prehospital setting in patients with acute hypoxemia respiratory failure, in terms of oxygenation at arrival to the hospital and need of mechanical ventilation during the subsequent 28 days

NCT ID: NCT03315546 Recruiting - Pediatric Cancer Clinical Trials

Radiotherapy Delivery in Deep Inspiration for Pediatric Patients

TEDDI
Start date: January 1, 2017
Phase: Phase 1/Phase 2
Study type: Interventional

TEDDI is a non-randomised phase II trial in Scandinavia. All pediatric patients, referred for radiotherapy in the thorax or abdomen and irrespective of diagnosis, are eligible. Deep inspiration breath-hold (DIBH) is a simple radiotherapy technique, which could have a dramatic impact on the risk of late effects in children. In DIBH, the radiotherapy is delivered while the patient holds his/her breath (4-6 sequential breath-holds). The anatomy is changed and imaging artifacts from respiratory movement are diminished. DIBH is widely used in adult patients with breast cancer and mediastinal lymphoma to minimize the risk of radiation-induced late effects due to a reduced dose to the healthy organs. Also, the technique is simple and cost-efficient. For pediatric patients, the investigators aim to: - Estimate the dosimetric benefit of radiotherapy using DIBH compared to free-breathing - Establish the compliance of DIBH - Determine if DIBH is an accurate and reproducible strategy - Optimize treatment planning considering the risk from loss of tumour control as well as the risk of late effects.

NCT ID: NCT03310528 Recruiting - Clinical trials for Respiratory Aspiration of Gastric Contents

Gastric Ultrasound for Estimation of the Aspiration Risk Study

Start date: March 27, 2018
Phase:
Study type: Observational

The purpose of this research study is to look at the effectiveness of current anesthesia guidelines regarding food and drink prior to surgery in patients who are likely to have food and drink remain in their stomach longer than might ordinarily be expected.

NCT ID: NCT03299023 Recruiting - Clinical trials for Obstructive Sleep Apnea

The Effect of Tooth Position During Orthodontic Treatment on the Apnea/ Hypopnea Index (AHI)

Start date: January 20, 2017
Phase:
Study type: Observational [Patient Registry]

The study design of this research project involves orthodontic patients registered at the Harvard School of Dental Medicine who are deemed eligible to undergo orthodontic treatment and who have been provided with sufficient information to make informed consent to join the sleep study. These patients will be provided with the Medibyte sleep monitor and instructed on the proper manner in which it should be set up and worn for the one night study period. This process will be carried out twice throughout the course of the study, once before any orthodontic appliance has been cemented and once after the required amount of tooth movement has been attained with the orthodontic appliance still in place. The de-identified data from the Medibyte monitor will be downloaded using the Braebon software and analyzed.

NCT ID: NCT03298217 Completed - Bronchiolitis Clinical Trials

Peak Tidal Inspiratory Flow in Infants With Moderate to Severe Acute Viral Bronchiolitis

DEBIB
Start date: November 21, 2017
Phase: N/A
Study type: Interventional

This aim of this study is to measure the peak tidal inspiratory flow (PTIF), using spirometry, in young infants with moderate to severe acute viral bronchiolitis (AVB). PTIF is important to consider for the management of AVB with High Flow Nasal Cannulae (HFNC). Indeed, efficiency with HFNC is optimal provided that the settled flow is equal or higher than the patient's PTIF. However, PTIF values in infants with AVB have never been determined.

NCT ID: NCT03275935 Completed - COPD Asthma Clinical Trials

Evaluation of Inhalation Technique in Patients With COPD, Asthma or ACOS Using a Dry Powder Device (DPI)

Start date: March 1, 2017
Phase: N/A
Study type: Observational [Patient Registry]

This study analyzes the prevalence of patients using inhalation devices via incorrect technique and access the adherence of patients to correct inhalation technique when taught along with their subjective improvement of symptoms.

NCT ID: NCT03271086 Withdrawn - Stress Disorder Clinical Trials

Relaxation Breathing Training for Children

Start date: October 2020
Phase: N/A
Study type: Interventional

Family-centered Relaxation Breathing Training in the Pediatric Outpatient Clinic: The long term goal is to apply simple, low cost, assistive technologies (heart rate variability [HRV] biofeedback together with mobile health tools) to teach relaxation breathing in the Boston Medical Center pediatric clinic setting following a trauma-informed care model. For this research both a mobile app for relaxation breathing skills and reminder text messages will be provided for the at-risk target population. The investigators will assess the feasibility and acceptability of relaxation breathing intervention in 60 parent-child dyads. These dyads will be randomly assigned to receive either (1) biofeedback relaxation training alone or (2) Technology-enhanced relaxation breathing (biofeedback relaxation training together with mobile health tools). Outcome measures will assess relaxation breathing practice, anxiety, and parental stress at the time of the intervention and at one month follow up.