Respiratory Failure With Hypoxia Clinical Trial
Official title:
PRone positioN in Patients With spontanEous ventiLation and Acute Hypoxemic respIratory FailurE
The proposed randomized controlled trial aims at comparing the application of the prone position in spontaneously breathing patients with acute hypoxemic respiratory failure from any cause versus standard treatment on the rate of invasive mechanical ventilation or all-cause of mortality. The secondary endpoints will include time to tracheal intubation and effects of awake proning on the oxygenation parameters, dyspnea sensation, complications, and tolerance. Other endpoints are ventilation free-days at 28 days, duration of invasive ventilation, length of ICU and hospital stay, ICU and hospital mortality, and 28, 60, and 90-day mortality.
The investigators intend to recruit acute hypoxemic respiratory failure patients with a respiratory rate of more than 25 breaths per minute, SpO2 < 94% and FiO2 of at least 40% or more by either Venturi facemask, HFNC, or NIV/CPAP and, absence of decompensated respiratory acidosis during two years. Currently, the investigators expect about 35 centers to participate in the trial. Demographic data and clinical characteristics on screened patients, regardless of enrolment criteria match, will be recorded (registry). The investigators will randomize 650 patients admitted to the participating centers' intensive care units and expect each participating center to randomize at least 25 patients who meet all inclusion criteria. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT04534400 -
Automated Quantification of Radiologic Pulmonary Alteration During Acute Respiratory Failure
|
||
Completed |
NCT04502576 -
Helmet Noninvasive Ventilation vs. High-flow Nasal Cannula in Moderate-to-severe Acute Hypoxemic Respiratory Failure
|
N/A | |
Completed |
NCT03095300 -
Prone Positioning During High Flow Oxygen Therapy in Acute Hypoxemic Respiratory Failure
|
N/A | |
Completed |
NCT03026322 -
Preventing Hypoxemia With Manual Ventilation During Endotracheal Intubation (PreVent) Trial
|
N/A | |
Not yet recruiting |
NCT03445455 -
Assessment of Tidal Volume During Non Invasive Oxygenation Techniques
|
N/A | |
Completed |
NCT04470258 -
Elmo Respiratory Support Project - COVID-19
|
N/A | |
Recruiting |
NCT05278390 -
Automated Quantification of Radiologic Pulmonary Alteration During Acute Respiratory Failure: Application to the COVID-19 Pandemic
|
N/A | |
Recruiting |
NCT04962568 -
Ultrasonographic Evaluation of the Diaphragm During NHF Versus NIV Use in Respiratory Failure
|
N/A | |
Not yet recruiting |
NCT04657796 -
Role of High Flow Nasal Oxygen as a Strategy for Weaning From Invasive Mechan
|
||
Completed |
NCT04402320 -
Non Invasive and Invasive Ventilation Post Extubation
|