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High Flow Nasal Cannula clinical trials

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NCT ID: NCT06146439 Completed - Clinical trials for Respiratory Distress

The Factors Causing Treatment Failure in Children Receiving Oxygen Therapy With High-flow Nasal Cannula

Start date: October 1, 2018
Phase:
Study type: Observational [Patient Registry]

The goal of this observational study is to identify the variables that predict treatment failure in order to identify the patients in which HFNC treatment may fail and not delay the transition to advanced respiratory support treatments in these patients. The main questions it aims to answer are: - What factors contribute to the failure of HFNC treatment in these children? - What is the frequency of HFNC treatment failure in children with moderate and severe respiratory distress? Researchers will compare the group whose HFNC treatment was successful with the group whose HFNC treatment failed to identify factors that cause treatment failure.

NCT ID: NCT04965844 Completed - Clinical trials for Respiratory Insufficiency

Closed-loop Oxygen Control for High Flow Nasal Therapy

HILOOP
Start date: April 27, 2021
Phase: N/A
Study type: Interventional

In patients with acute hypoxemic respiratory failure (AHRF), High Flow Nasal Therapy (HFNT) improves oxygenation, tolerance, and decrease work of breathing as compared to standard oxygen therapy by facemask. Current guidelines recommend adjusting oxygen flow rates to keep the oxygen saturation measured by pulse oximetry (SpO2) in the target range and avoid hypoxemia and hyperoxemia. The hypothesis of the study is that closed loop oxygen control increases the time spent within clinically targeted SpO2 ranges and decreases the time spent outside clinical target SpO2 ranges as compared to manual oxygen control in ICU patients treated with HFNT.

NCT ID: NCT04608331 Completed - Clinical trials for Obstructive Sleep Apnea

Dexmedetomidine Supplemented Analgesia in Patients at High-risk of Obstructive Sleep Apnea

Start date: January 29, 2021
Phase: Phase 4
Study type: Interventional

Obstructive sleep apnea (OSA) is a common sleep disturbance that can cause intermittent hypoxia, hypercapnia, and sleep structure disorders. The presence of OSA is associated with worse outcomes after surgery including increased incidence of complications. High-flow nasal cannula (HFNC) therapy can improve oxygenation of OSA patients by maintaining a certain positive pressure in the nasopharyngeal cavity. Previous studies showed that, dexmedetomidine supplemented analgesia can improve sleep quality and pain relief. The investigators hypothesize that, for high-risk OSA patients following major non-cardiac surgery with HFNC therapy, dexmedetomidine supplemented analgesia can improve sleep quality. The purpose of this pilot randomized controlled trial is to investigate the impact of dexmedetomidine supplemented analgesia on sleep quality in high-risk OSA patients after major non-cardiac surgery.

NCT ID: NCT04471220 Completed - Respiratory Failure Clinical Trials

Exercise Capacity Under Various FiO2 and Oxygen Flow Rates Using HFNC

Start date: July 1, 2020
Phase: N/A
Study type: Interventional

The purpose of this study is to compare the exercise capacity (6-min walking distance) under the following 4 conditions using High-flow nasal cannula (HFNC); 1. FIO2 value that the minimum SpO2 value in a 6-minute walking test (6MWT) is 86-88%, and a flow of 10 L/min 2. FIO2 value that the minimum SpO2 value in a 6MWT is 86-88%, and a flow of 40-50 L/min 3. FIO2 value that the minimum SpO2 value in a 6MWT is 92-94%, and a flow of 10 L/min 4. FIO2 value that the minimum SpO2 value in a 6MWT is 92-94%, and a flow of 40-50 L/min

NCT ID: NCT04353531 Completed - Clinical trials for High-flow Nasal Cannula

Investigate the Aerosol Particle Distribution During Aerosol Generating Procedures

Start date: May 20, 2020
Phase:
Study type: Observational

Massive number of clinicians were infected during the outbreak of COVID-19, which raised the concerns of utilizing "aerosol generating procedures", particularly the use of high-flow nasal cannula, noninvasive ventilation, intubation, bronchoscopy examination and pulmonary function test. There appears to be a trend to avoid those treatments. Instead, aggressive intubation might cause shortage of medical devices and add extra workload. Therefore, we aimed to do a clinical observational study to evaluate the aerosol generation in these procedures and explore the potential measures to reduce the aerosol generation or dispersion.

NCT ID: NCT04325906 Completed - Clinical trials for Acute Respiratory Distress Syndrome

Early PP With HFNC Versus HFNC in COVID-19 Induced Moderate to Severe ARDS

Start date: April 2, 2020
Phase: N/A
Study type: Interventional

Coronavirus disease 2019 (COVID-19) is an emerging infectious disease that was first reported in Wuhan, China, and had subsequently spread worldwide. Twenty-nine percent of COVID-19 patients may develop ARDS. Based on the potential beneficial mechanisms of HFNC and PP, whether early use of prone positioning combined with HFNC can avoid the need for intubation in COVID-19 induced moderate to severe ARDS patients needs to be further investigated.

NCT ID: NCT04245241 Completed - Clinical trials for Electrical Impedance Tomography

Effects of High-Flow Nasal Cannula Therapy Assessed by Electrical Impedance Tomography

Start date: May 1, 2018
Phase:
Study type: Observational

This study aimed to determine the effects of HFNC therapy on lung recruitment and lung strain change assessed by electrical impedance tomography (EIT)

NCT ID: NCT03845244 Completed - Clinical trials for Respiratory Insufficiency

Weaning Protocol for High Flow Nasal Cannula Oxygen Therapy

SLOWH
Start date: January 24, 2019
Phase: N/A
Study type: Interventional

High flow nasal cannula oxygen therapy has been widely used in critically ill patients. Despite effectiveness of high flow nasal cannula as a treatment, optimal methods to withdrawal high flow nasal cannula after recovery from preexisting conditions has not been investigated to date. In this study, we will evaluate the efficacy and safety of three different weaning methods in patients with high flow nasal cannula oxygen therapy.

NCT ID: NCT03529994 Completed - Clinical trials for High Flow Nasal Cannula

Work of Breathing and Oxygen Saturation in Infants Receiving High Flow Nasal Cannula (HFNC)

Start date: April 15, 2018
Phase:
Study type: Observational

The purpose of this study is to compare work of breathing on different levels of high flow respiratory support on infants born between 27 and 37 weeks gestation.

NCT ID: NCT03148262 Completed - Obesity Clinical Trials

High-Flow Nasal Cannula and Desaturation Episodes in the Morbidly Obese Patients

Start date: May 10, 2017
Phase: N/A
Study type: Interventional

It is standard practice in the United States and many parts of world to perform Gastrointestinal (GI) endoscopy with the patient under deep sedation. Obesity is accepted as a patient specific risk factor for hypoxic events during procedural sedation for GI endoscopic procedures. The Obese population has a higher prevalence of obstructive sleep apnea (OSA) which is characterized by repeated obstruction of the upper airway, and leads to apnea and desaturation. This prospective, randomized study was designed to compare the effectiveness of the high flow nasal cannula and the standard nasal cannula in morbidly obese (BMI > 40) patients receiving deep intravenous sedation during colonoscopies. This study will assess whether use of the high flow nasal cannula (HFNC) leads to less intraoperative desaturation events compared to the current standard of care.