Respiratory Failure Clinical Trial
Official title:
Effects of Treatment With High Flow Nasal Cannulas on Respiratory Pattern and Work of Breathing Among Healthy Subjects
This study evaluates the work of breathing among healthy subjects under various conditions of treatment with high flow nasal cannulas. Ten subjects will be included. The design of this study is a cross over of five treatment periods with different flow settings.
High flow oxygen therapy (HFOT) is a promising technique increasingly used in the management
of acute respiratory failure. In hospitalised hypoxemic patients, recent clinical evidence
showed that HFOT can reduce endotracheal intubation and reduce mortality. Physiologically,
the HFOT causes a decrease in respiratory rate and minute-ventilation and may be associated
with a decrease in carbone dioxyde arterial pressure. It is possible that these effects are
associated with decreased work of breathing, which could explain some of the benefits in
terms of comfort and efficiency.
The objective of this research is to evaluate the impact of a wash-out of anatomical dead
space by high flow nasal cannulas on respiratory parameters and on the work of breathing
among healthy subjects. The investigators will evaluate the baseline status in room air, and
then compare it with four different levels of flow. The primary endpoint will be the work of
breathing.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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