HypoxemiaNCT05784636
Comparative Study on the Effectiveness, Comfort and Compliance of HFNC and Noninvasive Mechanical Ventilation BiPAP Mode in the Treatment of Hypoxemia Patients
A study testing Non-invasive BiPAP ventilation and HFNC in people with Hypoxemia, run by Qilu Hospital of Shandong University at 1 site in China.
Trial summary
Patients who met the inclusion criteria were included and signed an informed consent form, which complied with the requirements of the ethics committee of our unit. All subjects were inpatients. Subjects were randomized into two groups. Read more about this study
- Who is it for?
- Ages 20 to 80 years
- Conditions the study is for
- Hypoxemia
- What is being tested?
- Non-invasive BiPAP ventilation and HFNC
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 243 participants
- Where
- 1 siteChina
- Study dates
- Mar 2023to 6 Jun 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- . PaO2 < 60mmHg, SpO2 < 92%(without oxygen inhalation);
- Mild to moderate type I respiratory failure (100 mmHg < PaO/Fi02≤300 mmHg);
Who cannot join
- Missing primary outcome measures
- Terminal stage of various chronic diseases;
- The patient or family members do not agree to NIV or HFNI treatment;
- Severe type I respiratory failure (PaO2/Fi02≤100 mmHg)
- Ventilation dysfunction (pH<7.30)
- Contradictory breathing
- The patient abandons or terminates treatment, automatically discharges or transfers to another hospital;
- Serious diseases, such as organ function damage and sepsis;
Trial locations and contacts
1 site in 1 country.
China1 site
Qilu Hospital of Shandong University
Jinan, Shandong, 250012
Dedong Ma, MD, 18560082806, ma@qiluhuxi.com
Chunwei He, MBBS, 17361616499, hechw160814@163.com
About this study
Official title: Comparative Study on the Effectiveness, Comfort and Compliance of High-flow Nasal Oxygen Therapy and Noninvasive Mechanical Ventilation BiPAP Mode in the Treatment of Hypoxemia Patients
Patients who met the inclusion criteria were included and signed an informed consent form, which complied with the requirements of the ethics committee of our unit. All subjects were inpatients. Subjects were randomized into two groups. patients in group A were first treated with HFNC on top of conventional treatment, and after 24 hours, patients were treated with non-invasive ventilator-assisted ventilation BiPAP mode until discharge. patients in group B were treated with a non-invasive ventilator on top of conventional treatment, and after 24 hours of treatment, patients were treated with HFNC until discharge. Patient information was collected during treatment.
Read the detailed description
Patients who met the inclusion criteria were included and signed the informed consent, which met the requirements of the ethics committee of our unit. All subjects were hospitalized patients. Subjects were randomly divided into two groups. Patients in group A were treated with HFNC on the basis of conventional treatment. The initial parameters were: temperature:31-37℃, flow: 30-40l /min, SpO2 > 92% maintained, the oxygen concentration was adjusted according to the patient's oxygen saturation, and the treatment time was 24h. Twenty-four hours later, the patients were treated with non-invasive ventilator-assisted ventilation BiPAP mode until discharge. On the basis of conventional treatment, patients in group B were given a non-invasive ventilator with the following initial parameters: BiPaP mode, initial inspiratory pressure (IPAP) of 8-15cmH2O, initial expiratory pressure (EPAP) of 4-8cmH2O. The parameters were adjusted according to the specific conditions of the patients. After 24 hours of treatment, the patient was treated with HFNC until discharge. Patient information was collected during treatment.
- Conditions
- Hypoxemia
- Being tested
- Non-invasive BiPAP ventilation, HFNC
- Keywords
- Hypoxemia, High-flow nasal cannula, Mechanical ventilation
- Medical subject headings
- Hypoxia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Non-invasive BiPAP ventilationDevice
Also called HFNC
Patients were first treated with HFNC (High-flow nasal cannula) on the basis of conventional treatment. The initial parameters were temperature: 31-37 °C, flow rate: 30-40l /min, maintaining SpO2>92%, adjusting oxygen concentration according to blood oxygen saturation, and treatment duration was 24 h. After 24 h, patients were treated with non-invasive ventilator-assisted ventilation BiPAP mode until discharge.
HFNCDevice
Also called Non-invasive BiPAP ventilation
On the basis of conventional treatment, patients were first administered a noninvasive ventilator with the following initial parameters. BiPAP mode with an initial inspiratory pressure (IPAP) of 8-15 cmH2O and an initial expiratory pressure (EPAP) of 4-8 cmH2O. These parameters were adjusted according to the patient's specific conditions. After 24 hours of treatment, patients received HFNC (High-flow nasal cannula) until discharge.
| Study group | Role | What they receive |
|---|---|---|
| Non-invasive BiPAP ventilation treatment group | Experimental | Patients were first treated with HFNC on the basis of conventional treatment. The initial parameters were temperature: 31-37 °C, flow rate: 30-40 L/min, maintaining SpO2>92%, adjusting oxygen concentration according to blood oxygen saturation, and treatment duration was 24 h. After 24 h, patients were treated with non-invasive ventilator-assisted ventilation BiPAP mode until discharge Receives: Device: Non-invasive BiPAP ventilation; Device: HFNC |
| HFNC treatment group | Experimental | On the basis of conventional treatment, patients were first administered a noninvasive ventilator with the following initial parameters. BiPAP mode with an initial inspiratory pressure (IPAP) of 8-15 cmH2O and an initial expiratory pressure (EPAP) of 4-8 cmH2O. These parameters were adjusted according to the patient's specific conditions. After 24 hours of treatment, patients received HFNC until discharge. Receives: Device: Non-invasive BiPAP ventilation; Device: HFNC |
What is being measured
The primary outcome is the main question the study is designed to answer.
HR
Heart rate
Measured: At the time of enrollment in the clinical study
HR
Heart rate
Measured: On the first hour after enrollment
HR
Heart rate
Measured: On the second hour after enrollment
HR
Heart rate
Measured: On the 6th hour after enrollment
HR
Heart rate
Measured: On the 12th hour after enrollment
HR
Heart rate
Measured: On the 24th hour after enrollment
HR
Heart rate
Measured: On the 25th hour after enrollment (On the first hour after crossover)
HR
Heart rate
Measured: On the 26th hour after enrollment (On the second hour after crossover)
HR
Heart rate
Measured: On the 30th hour after enrollment (On the 6th hour after crossover)
HR
Heart rate
Measured: On the 36th hour after enrollment (On the 12th hour after crossover)
HR
Heart rate
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
HR
Heart rate
Measured: On the third day after enrollment (On the 48th hour after crossover)
HR
Heart rate
Measured: On the 4th day after enrollment (On the third day after crossover)
HR
Heart rate
Measured: On the 5th day after enrollment (On the 4th day after crossover)
HR
Heart rate
Measured: On the 6th day after enrollment (On the 5th day after crossover)
HR
Heart rate
Measured: On the 7th day after enrollment (On the 6th day after crossover)
HR
Heart rate
Measured: On the 8th day after enrollment (On the 7th day after crossover)
HR
Heart rate
Measured: On the 9th day after enrollment (On the 8th day after crossover)
RR
Respiratory rate
Measured: At the time of enrollment in the clinical study
RR
Respiratory rate
Measured: On the first hour after enrollment
RR
Respiratory rate
Measured: On the second hour after enrollment
RR
Respiratory rate
Measured: On the 6th hour after enrollment
RR
Respiratory rate
Measured: On the 12th hour after enrollment
RR
Respiratory rate
Measured: On the 24th hour after enrollment
RR
Respiratory rate
Measured: On the 25th hour after enrollment (On the first hour after crossover)
RR
Respiratory rate
Measured: On the 26th hour after enrollment (On the second hour after crossover)
RR
Respiratory rate
Measured: On the 30th hour after enrollment (On the 6th hour after crossover)
RR
Respiratory rate
Measured: On the 36th hour after enrollment (On the 12th hour after crossover)
RR
Respiratory rate
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
RR
Respiratory rate
Measured: On the third day after enrollment (On the 48th hour after crossover)
RR
Respiratory rate
Measured: On the 4th day after enrollment (On the third day after crossover)
RR
Respiratory rate
Measured: On the 5th day after enrollment (On the 4th day after crossover)
RR
Respiratory rate
Measured: On the 6th day after enrollment (On the 5th day after crossover)
RR
Respiratory rate
Measured: On the 7th day after enrollment (On the 6th day after crossover)
RR
Respiratory rate
Measured: On the 8th day after enrollment (On the 7th day after crossover)
RR
Respiratory rate
Measured: On the 9th day after enrollment (On the 8th day after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: At the time of enrollment in the clinical study
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the first hour after enrollment
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the second hour after enrollment
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 6th hour after enrollment
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 12th hour after enrollment
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 24th hour after enrollment
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 25th hour after enrollment (On the first hour after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 26th hour after enrollment (On the second hour after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 30th hour after enrollment (On the 6th hour after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 36th hour after enrollment (On the 12th hour after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the third day after enrollment (On the 48th hour after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 4th day after enrollment (On the third day after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 5th day after enrollment (On the 4th day after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 6th day after enrollment (On the 5th day after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 7th day after enrollment (On the 6th day after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 8th day after enrollment (On the 7th day after crossover)
BP
Blood pressure (Includes systolic and diastolic blood pressure)
Measured: On the 9th day after enrollment (On the 8th day after crossover)
SO2
Pulse oxygen saturation
Measured: At the time of enrollment in the clinical study
SO2
Pulse oxygen saturation
Measured: On the first hour after enrollment
SO2
Pulse oxygen saturation
Measured: On the second hour after enrollment
SO2
Pulse oxygen saturation
Measured: On the 6th hour after enrollment
SO2
Pulse oxygen saturation
Measured: On the 12th hour after enrollment
SO2
Pulse oxygen saturation
Measured: On the 24th hour after enrollment
SO2
Pulse oxygen saturation
Measured: On the 25th hour after enrollment (On the first hour after crossover)
SO2
Pulse oxygen saturation
Measured: On the 26th hour after enrollment (On the second hour after crossover)
SO2
Pulse oxygen saturation
Measured: On the 30th hour after enrollment (On the 6th hour after crossover)
SO2
Pulse oxygen saturation
Measured: On the 36th hour after enrollment (On the 12th hour after crossover)
SO2
Pulse oxygen saturation
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
SO2
Pulse oxygen saturation
Measured: On the third day after enrollment (On the 48th hour after crossover)
SO2
Pulse oxygen saturation
Measured: On the 4th day after enrollment (On the third day after crossover)
SO2
Pulse oxygen saturation
Measured: On the 5th day after enrollment (On the 4th day after crossover)
SO2
Pulse oxygen saturation
Measured: On the 6th day after enrollment (On the 5th day after crossover)
SO2
Pulse oxygen saturation
Measured: On the 7th day after enrollment (On the 6th day after crossover)
SO2
Pulse oxygen saturation
Measured: On the 8th day after enrollment (On the 7th day after crossover)
SO2
Pulse oxygen saturation
Measured: On the 9th day after enrollment (On the 8th day after crossover)
pH
Degree of pH in arterial blood
Measured: At the time of enrollment in the clinical study
pH
Degree of pH in arterial blood
Measured: On the 24th hour after enrollment
pH
Degree of pH in arterial blood
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
pH
Degree of pH in arterial blood
Measured: On the third day after enrollment (On the 48th hour after crossover)
pH
Degree of pH in arterial blood
Measured: On the 4th day after enrollment (On the 3th day after crossover)
pH
Degree of pH in arterial blood
Measured: On the 5th day after enrollment (On the 4th day after crossover)
pH
Degree of pH in arterial blood
Measured: On the 6th day after enrollment (On the 5th day after crossover)
pH
Degree of pH in arterial blood
Measured: On the 7th day after enrollment (On the 6th day after crossover)
pH
Degree of pH in arterial blood
Measured: On the 8th day after enrollment (On the 7th day after crossover)
pH
Degree of pH in arterial blood
Measured: On the 9th day after enrollment (On the 8th day after crossover)
PaO2
Partial arterial oxygen pressure
Measured: At the time of enrollment in the clinical study
PaO2
Partial arterial oxygen pressure
Measured: On the 24th hour after enrollment
PaO2
Partial arterial oxygen pressure
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
PaO2
Partial arterial oxygen pressure
Measured: On the third day after enrollment (On the 48th hour after crossover)
PaO2
Partial arterial oxygen pressure
Measured: On the 4th day after enrollment (On the 3th day after crossover)
PaO2
Partial arterial oxygen pressure
Measured: On the 5th day after enrollment (On the 4th day after crossover)
PaO2
Partial arterial oxygen pressure
Measured: On the 6th day after enrollment (On the 5th day after crossover)
PaO2
Partial arterial oxygen pressure
Measured: On the 7th day after enrollment (On the 6th day after crossover)
PaO2
Partial arterial oxygen pressure
Measured: On the 8th day after enrollment (On the 7th day after crossover)
PaO2
Partial arterial oxygen pressure
Measured: On the 9th day after enrollment (On the 8th day after crossover)
SaO2
Arterial oxygen saturation
Measured: At the time of enrollment in the clinical study
SaO2
Arterial oxygen saturation
Measured: On the 24th hour after enrollment
SaO2
Arterial oxygen saturation
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
SaO2
Arterial oxygen saturation
Measured: On the third day after enrollment (On the 48th hour after crossover)
SaO2
Arterial oxygen saturation
Measured: On the 4th day after enrollment (On the third day after crossover)
SaO2
Arterial oxygen saturation
Measured: On the 5th day after enrollment (On the 4th day after crossover)
SaO2
Arterial oxygen saturation
Measured: On the 6th day after enrollment (On the 5th day after crossover)
SaO2
Arterial oxygen saturation
Measured: On the 7th day after enrollment (On the 6th day after crossover)
SaO2
Arterial oxygen saturation
Measured: On the 8th day after enrollment (On the 7th day after crossover)
SaO2
Arterial oxygen saturation
Measured: On the 9th day after enrollment (On the 8th day after crossover)
PCO2
partial pressure of carbon dioxide in arterial blood
Measured: At the time of enrollment in the clinical study
PCO2
partial pressure of carbon dioxide in arterial blood
Measured: On the 24th hour after enrollment
PCO2
partial pressure of carbon dioxide in arterial blood
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
PCO2
partial pressure of carbon dioxide in arterial blood
Measured: On the third day after enrollment (On the 48th hour after crossover)
PCO2
partial pressure of carbon dioxide in arterial blood
Measured: On the 4th day after enrollment (On the third day after crossover)
PCO2
partial pressure of carbon dioxide in arterial blood
Measured: On the 5th day after enrollment (On the 4th day after crossover)
PCO2
partial pressure of carbon dioxide in arterial blood
Measured: On the 6th day after enrollment (On the 5th day after crossover)
PCO2
partial pressure of carbon dioxide in arterial blood
Measured: On the 7th day after enrollment (On the 6th day after crossover)
PCO2
partial pressure of carbon dioxide in arterial blood
Measured: On the 8th day after enrollment (On the 7th day after crossover)
PCO2
partial pressure of carbon dioxide in arterial blood
Measured: On the 9th day after enrollment (On the 8th day after crossover)
FiO2
Fraction of inspiration O2
Measured: At the time of enrollment in the clinical study
FiO2
Fraction of inspiration O2
Measured: On the 24th hour after enrollment
FiO2
Fraction of inspiration O2
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
FiO2
Fraction of inspiration O2
Measured: On the third day after enrollment (On the 48th hour after crossover)
FiO2
Fraction of inspiration O2
Measured: On the 4th day after enrollment (On the third day after crossover)
FiO2
Fraction of inspiration O2
Measured: On the 5th day after enrollment (On the 4th day after crossover)
FiO2
Fraction of inspiration O2
Measured: On the 6th day after enrollment (On the 5th day after crossover)
FiO2
Fraction of inspiration O2
Measured: On the 7th day after enrollment (On the 6th day after crossover)
FiO2
Fraction of inspiration O2
Measured: On the 8th day after enrollment (On the 7th day after crossover)
FiO2
Fraction of inspiration O2
Measured: On the 9th day after enrollment (On the 8th day after crossover)
Lac
Lactic acid in arterial blood
Measured: At the time of enrollment in the clinical study
Lac
Lactic acid in arterial blood
Measured: On the 24th hour after enrollment
Lac
Lactic acid in arterial blood
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
Lac
Lactic acid in arterial blood
Measured: On the third day after enrollment (On the 48th hour after crossover)
Lac
Lactic acid in arterial blood
Measured: On the 4th day after enrollment (On the third day after crossover)
Lac
Lactic acid in arterial blood
Measured: On the 5th day after enrollment (On the 4th day after crossover)
Lac
Lactic acid in arterial blood
Measured: On the 6th day after enrollment (On the 5th day after crossover)
Lac
Lactic acid in arterial blood
Measured: On the 7th day after enrollment (On the 6th day after crossover)
Lac
Lactic acid in arterial blood
Measured: On the 8th day after enrollment (On the 7th day after crossover)
Lac
Lactic acid in arterial blood
Measured: On the 9th day after enrollment (On the 8th day after crossover)
Glu
Arterial blood glucose in arterial blood
Measured: At the time of enrollment in the clinical study
Glu
Arterial blood glucose in arterial blood
Measured: On the 24th hour after enrollment
Glu
Arterial blood glucose in arterial blood
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
Glu
Arterial blood glucose in arterial blood
Measured: On the third day after enrollment (On the 48th hour after crossover)
GLu
Arterial blood glucose in arterial blood
Measured: On the 4th day after enrollment (On the third day after crossover)
Glu
Arterial blood glucose in arterial blood
Measured: On the 5th day after enrollment (On the 4th day after crossover)
Glu
Arterial blood glucose in arterial blood
Measured: On the 6th day after enrollment (On the 5th day after crossover)
Glu
Arterial blood glucose in arterial blood
Measured: On the 7th day after enrollment (On the 6th day after crossover)
Glu
Arterial blood glucose in arterial blood
Measured: On the 8th day after enrollment (On the 7th day after crossover)
Glu
Arterial blood glucose in arterial blood
Measured: On the 9th day after enrollment (On the 8th day after crossover)
A-aDO2
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
Measured: At the time of enrollment in the clinical study
A-aDO2
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
Measured: On the 24th hour after enrollment
A-aDO2
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
A-aDO2
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
Measured: On the third day after enrollment (On the 48th hour after crossover)
A-aDO2
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
Measured: On the 4th day after enrollment (On the third day after crossover)
A-aDO2
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
Measured: On the 5th day after enrollment (On the 4th day after crossover)
A-aDO2
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
Measured: On the 6th day after enrollment (On the 5th day after crossover)
A-aDO2
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
Measured: On the 7th day after enrollment (On the 6th day after crossover)
A-aDO2
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
Measured: On the 8th day after enrollment (On the 7th day after crossover)
A-aDO2
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
Measured: On the 9th day after enrollment (On the 8th day after crossover)
BE
Base excess in arterial blood
Measured: At the time of enrollment in the clinical study
BE
Base excess in arterial blood
Measured: On the 24th hour after enrollment
BE
Base excess in arterial blood
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
BE
Base excess in arterial blood
Measured: On the third day after enrollment (On the 48th hour after crossover)
BE
Base excess in arterial blood
Measured: On the 4th day after enrollment (On the third day after crossover)
BE
Base excess in arterial blood
Measured: On the 5th day after enrollment (On the 4th day after crossover)
BE
Base excess in arterial blood
Measured: On the 6th day after enrollment (On the 5th day after crossover)
BE
Base excess in arterial blood
Measured: On the 7th day after enrollment (On the 6th day after crossover)
BE
Base excess in arterial blood
Measured: On the 8th day after enrollment (On the 7th day after crossover)
BE
Base excess in arterial blood
Measured: On the 9th day after enrollment (On the 8th day after crossover)
RI
Respiratory Index
Measured: At the time of enrollment in the clinical study
RI
Respiratory Index
Measured: On the 24th hour after enrollment
RI
Respiratory Index
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
RI
Respiratory Index
Measured: On the third day after enrollment (On the 48th hour after crossover)
RI
Respiratory Index
Measured: On the 4th day after enrollment (On the third day after crossover)
RI
Respiratory Index
Measured: On the 5th day after enrollment (On the 4th day after crossover)
RI
Respiratory Index
Measured: On the 6th day after enrollment (On the 5th day after crossover)
RI
Respiratory Index
Measured: On the 7th day after enrollment (On the 6th day after crossover)
RI
Respiratory Index
Measured: On the 8th day after enrollment (On the 7th day after crossover)
RI
Respiratory Index
Measured: On the 9th day after enrollment (On the 8th day after crossover)
Arterial blood HCO3- concentration
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Measured: At the time of enrollment in the clinical study
Arterial blood HCO3- concentration
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Measured: On the 24th hour after enrollment
Arterial blood HCO3- concentration
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
Arterial blood HCO3- concentration
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Measured: On the third day after enrollment (On the 48th hour after crossover)
Arterial blood HCO3- concentration
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Measured: On the 4th day after enrollment (On the third day after crossover)
Arterial blood HCO3- concentration
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Measured: On the 5th day after enrollment (On the 4th day after crossover)
Arterial blood HCO3- concentration
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Measured: On the 6th day after enrollment (On the 5th day after crossover)
Arterial blood HCO3- concentration
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Measured: On the 7th day after enrollment (On the 6th day after crossover)
Arterial blood HCO3- concentration
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Measured: On the 8th day after enrollment (On the 7th day after crossover)
Arterial blood HCO3- concentration
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Measured: On the 9th day after enrollment (On the 8th day after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Measured: At the time of enrollment in the clinical study
Arterial blood K+ concentration
Arterial blood K+ concentration
Measured: On the 24th hour after enrollment
Arterial blood K+ concentration
Arterial blood K+ concentration
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Measured: On the third day after enrollment (On the 48th hour after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Measured: On the 4th day after enrollment (On the third day after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Measured: On the 5th day after enrollment (On the 4th day after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Measured: On the 6th day after enrollment (On the 5th day after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Measured: On the 7th day after enrollment (On the 6th day after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Measured: On the 8th day after enrollment (On the 7th day after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Measured: On the 9th day after enrollment (On the 8th day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Measured: At the time of enrollment in the clinical study
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Measured: On the 24th hour after enrollment
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Measured: On the third day after enrollment (On the 48th hour after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Measured: On the 4th day after enrollment (On the third day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Measured: On the 5th day after enrollment (On the 4th day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Measured: On the 6th day after enrollment (On the 5th day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Measured: On the 7th day after enrollment (On the 6th day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Measured: On the 8th day after enrollment (On the 7th day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Measured: On the 9th day after enrollment (On the 8th day after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Measured: At the time of enrollment in the clinical study
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Measured: On the 24th hour after enrollment
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Measured: On the third day after enrollment (On the 48th hour after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Measured: On the 4th day after enrollment (On the third day after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Measured: On the 5th day after enrollment (On the 4th day after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Measured: On the 6th day after enrollment (On the 5th day after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Measured: On the 7th day after enrollment (On the 6th day after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Measured: On the 8th day after enrollment (On the 7th day after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Measured: On the 9th day after enrollment (On the 8th day after crossover)
TCO2
Total carbon dioxide in arterial blood
Measured: At the time of enrollment in the clinical study
TCO2
Total carbon dioxide in arterial blood
Measured: On the 24th hour after enrollment
TCO2
Total carbon dioxide in arterial blood
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
TCO2
Total carbon dioxide in arterial blood
Measured: On the third day after enrollment (On the 48th hour after crossover)
TCO2
Total carbon dioxide in arterial blood
Measured: On the 4th day after enrollment (On the third day after crossover)
TCO2
Total carbon dioxide in arterial blood
Measured: On the 5th day after enrollment (On the 4th day after crossover)
TCO2
Total carbon dioxide in arterial blood
Measured: On the 6th day after enrollment (On the 5th day after crossover)
TCO2
Total carbon dioxide in arterial blood
Measured: On the 7th day after enrollment (On the 6th day after crossover)
TCO2
Total carbon dioxide in arterial blood
Measured: On the 8th day after enrollment (On the 7th day after crossover)
TCO2
Total carbon dioxide in arterial blood
Measured: On the 9th day after enrollment (On the 8th day after crossover)
HCT
hematocrit in arterial blood
Measured: At the time of enrollment in the clinical study
HCT
hematocrit in arterial blood
Measured: On the 24th hour after enrollment
HCT
hematocrit in arterial blood
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
HCT
hematocrit in arterial blood
Measured: On the third day after enrollment (On the 48th hour after crossover)
HCT
hematocrit in arterial blood
Measured: On the 4th day after enrollment (On the third day after crossover)
HCT
hematocrit in arterial blood
Measured: On the 5th day after enrollment (On the 4th day after crossover)
HCT
hematocrit in arterial blood
Measured: On the 6th day after enrollment (On the 5th day after crossover)
HCT
hematocrit in arterial blood
Measured: On the 7th day after enrollment (On the 6th day after crossover)
HCT
hematocrit in arterial blood
Measured: On the 8th day after enrollment (On the 7th day after crossover)
HCT
hematocrit in arterial blood
Measured: On the 9th day after enrollment (On the 8th day after crossover)
tHbc
Total hemoglobin in arterial blood
Measured: At the time of enrollment in the clinical study
tHbc
Total hemoglobin in arterial blood
Measured: On the 24th hour after enrollment
tHbc
Total hemoglobin in arterial blood
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
tHbc
Total hemoglobin in arterial blood
Measured: On the third day after enrollment (On the 48th hour after crossover)
tHbc
Total hemoglobin in arterial blood
Measured: On the 4th day after enrollment (On the third day after crossover)
tHbc
Total hemoglobin in arterial blood
Measured: On the 5th day after enrollment (On the 4th day after crossover)
tHbc
Total hemoglobin in arterial blood
Measured: On the 6th day after enrollment (On the 5th day after crossover)
tHbc
Total hemoglobin in arterial blood
Measured: On the 7th day after enrollment (On the 6th day after crossover)
tHbc
Total hemoglobin in arterial blood
Measured: On the 8th day after enrollment (On the 7th day after crossover)
tHbc
Total hemoglobin in arterial blood
Measured: On the 9th day after enrollment (On the 8th day after crossover)
height
m
Measured: At the time of enrollment in the clinical study
Weight
Kg
Measured: At the time of enrollment in the clinical study
gender
Male and female
Measured: At the time of enrollment in the clinical study
age
year
Measured: At the time of enrollment in the clinical study
WBC
The number of white blood cells in venous blood
Measured: On the first day after enrollment
WBC
The number of white blood cells in venous blood
Measured: up to 9 days
NEU
The number of Neutrophil granulocyte in venous blood
Measured: On the first day after enrollment
NEU
The number of Neutrophil granulocyte in venous blood
Measured: up to 9 days
LYM
The number of Venous blood lymphocytes in venous blood
Measured: On the first day after enrollment
LYM
The number of Venous blood lymphocytes in venous blood
Measured: up to 9 days
EOS
The number of Venous blood eosinophils in venous blood
Measured: On the first day after enrollment
EOS
The number of Venous blood eosinophils in venous blood
Measured: up to 9 days
BAS
The number of Venous blood Basophils in venous blood
Measured: On the first day after enrollment
BAS
The number of Venous blood Basophils in venous blood
Measured: up to 9 days
MON
The number of Venous blood Monocyte cell in venous blood
Measured: On the first day after enrollment
MON
The number of Venous blood Monocyte cell in venous blood
Measured: up to 9 days
RBC
The number of red blood cells in venous blood
Measured: On the first day after enrollment
RBC
The number of red blood cells in venous blood
Measured: up to 9 days
HGB
The number of haemoglobin in venous blood
Measured: On the first day after enrollment
HGB
The number of haemoglobin in venous blood
Measured: up to 9 days
HCT
hematocrit in venous blood
Measured: On the first day after enrollment
HCT
hematocrit in venous blood
Measured: up to 9 days
MCV
Mean Corpuscular Volume in venous blood
Measured: On the first day after enrollment
MCV
Mean Corpuscular Volume in venous blood
Measured: up to 9 days
MCH
Mean Corpuscular Haemoglobin Concentration in venous blood
Measured: On the first day after enrollment
MCH
Mean Corpuscular Haemoglobin Concentration in venous blood
Measured: up to 9 days
RDW
red blood cell distribution width in venous blood
Measured: On the first day after enrollment
RDW
red blood cell distribution width in venous blood
Measured: up to 9 days
PLT
platelet in venous blood
Measured: On the first day after enrollment
PLT
platelet in venous blood
Measured: up to 9 days
PDW
Platelet distributionwidth in venous blood
Measured: On the first day after enrollment
PDW
Platelet distributionwidth in venous blood
Measured: up to 9 days
MPV
Mean Platelet Volume in venous blood
Measured: On the first day after enrollment
MPV
Mean Platelet Volume in venous blood
Measured: up to 9 days
plateletcrit
plateletcrit in venous blood
Measured: On the first day after enrollment
plateletcrit
plateletcrit in venous blood
Measured: up to 9 days
CRP
C-reactive protein in venous blood
Measured: On the first day after enrollment
CRP
C-reactive protein in venous blood
Measured: up to 9 days
PCT
Procalcitonin in venous blood
Measured: On the first day after enrollment
PCT
Procalcitonin in venous blood
Measured: up to 9 days
NT-proBNP
NT-proBNP in venous blood
Measured: On the first day after enrollment
NT-proBNP
NT-proBNP in venous blood
Measured: up to 9 days
ESR
erythrocytesedimentationrate in venous blood
Measured: On the first day after enrollment
ESR
erythrocytesedimentationrate in venous blood
Measured: up to 9 days
PT
prothrombin time in venous blood
Measured: On the first day after enrollment
PT
prothrombin time in venous blood
Measured: up to 9 days
APTT
activated partial thromboplastin time in venous blood
Measured: On the first day after enrollment
APTT
activated partial thromboplastin time in venous blood
Measured: up to 9 days
TT
Thrombin time in venous blood
Measured: On the first day after enrollment
TT
Thrombin time in venous blood
Measured: up to 9 days
D-Di
D-Dimer in venous blood
Measured: On the first day after enrollment
D-Di
D-Dimer in venous blood
Measured: up to 9 days
ALT
alanine transaminase in venous blood
Measured: On the first day after enrollment
ALT
alanine transaminase in venous blood
Measured: up to 9 days
AST
Aspartate Transaminase in venous blood
Measured: On the first day after enrollment
AST
Aspartate Transaminase in venous blood
Measured: up to 9 days
PA
Serum prealbumin in venous blood
Measured: On the first day after enrollment
PA
Serum prealbumin in venous blood
Measured: up to 9 days
TP
Total serum protein in venous blood
Measured: On the first day after enrollment
TP
Total serum protein in venous blood
Measured: up to 9 days
ALB
Albumin protein in venous blood
Measured: On the first day after enrollment
ALB
Albumin protein in venous blood
Measured: up to 9 days
GLB
Globulin globulin in venous blood
Measured: On the first day after enrollment
GLB
Globulin globulin in venous blood
Measured: up to 9 days
Cr
creatinine in venous blood
Measured: On the first day after enrollment
Cr
creatinine in venous blood
Measured: up to 9 days
BUN
Urea nitrogen in venous blood
Measured: On the first day after enrollment
BUN
Urea nitrogen in venous blood
Measured: up to 9 days
Cys-C
Cystatin C in venous blood
Measured: On the first day after enrollment
Cys-C
Cystatin C in venous blood
Measured: up to 9 days
eGFR
Estimate glomerular filtration rate in venous blood
Measured: On the first day after enrollment
eGFR
Estimate glomerular filtration rate in venous blood
Measured: up to 9 days
Respiratory support time
Daily respiratory support time after patients were enrolled in the clinical study,h/Day
Measured: during hospitalization, approximately 9 days
Relief time for dyspnea
Remission time of dyspnea after intervention
Measured: during hospitalization, approximately 9 days
Tracheal intubation
Yes or No
Measured: during hospitalization, approximately 9 days
Stay in the ICU
Yes or No
Measured: during hospitalization, approximately 9 days
Complications
Facial injury, flatulence,Gastroesophageal reflux,Dry throat, sore throat,pneumothorax,Eye irritation discomfort,Low blood pressure.
Measured: during hospitalization, approximately 9 days
Outcome of disease
Get better, get worse, die
Measured: during hospitalization, approximately 9 days
Total bilirubin
Serum total bilirubin in venous blood
Measured: On the first day after enrollment
Total bilirubin
Serum total bilirubin in venous blood
Measured: up to 9 days
DBIL
Direct bilirubin in venous blood
Measured: On the first day after enrollment
DBIL
Direct bilirubin in venous blood
Measured: up to 9 days
IBIL
Indirect bilirubin in venous blood
Measured: On the first day after enrollment
IBIL
Indirect bilirubin in venous blood
Measured: up to 9 days
Diaphragm mobility
The patient is lying in a flat position. The convex array probe is placed at the junction of the anterior axillary line, midclavicular line, and rib margin (bilaterally), with the probe mark facing outward and downward for measurement.
Measured: At the time of enrollment in the clinical study
Diaphragm mobility
The patient is lying in a flat position. The convex array probe is placed at the junction of the anterior axillary line, midclavicular line, and rib margin (bilaterally), with the probe mark facing outward and downward for measurement.
Measured: On the 24th hour after enrollment
Diaphragm mobility
The patient is lying in a flat position. The convex array probe is placed at the junction of the anterior axillary line, midclavicular line, and rib margin (bilaterally), with the probe mark facing outward and downward for measurement.
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
Diaphragm mobility
The patient is lying in a flat position. The convex array probe is placed at the junction of the anterior axillary line, midclavicular line, and rib margin (bilaterally), with the probe mark facing outward and downward for measurement.
Measured: up to 9 days
Diaphragm thickness
Includes end-inspiratory diaphragm thickness and end-expiratory diaphragm thickness;The patient is lying flat on the bed. A linear array probe is placed in the mid-axillary line or between the anterior and mid-axillary lines between the eighth and tenth ribs, and measurements are taken.
Measured: At the time of enrollment in the clinical study
Diaphragm thickness
Includes end-inspiratory diaphragm thickness and end-expiratory diaphragm thickness;The patient is lying flat on the bed. A linear array probe is placed in the mid-axillary line or between the anterior and mid-axillary lines between the eighth and tenth ribs, and measurements are taken.
Measured: On the 24th hour after enrollment
Diaphragm thickness
Includes end-inspiratory diaphragm thickness and end-expiratory diaphragm thickness;The patient is lying flat on the bed. A linear array probe is placed in the mid-axillary line or between the anterior and mid-axillary lines between the eighth and tenth ribs, and measurements are taken.
Measured: On the 48th hour after enrollment (On the 24th hour after crossover)
Diaphragm thickness
Includes end-inspiratory diaphragm thickness and end-expiratory diaphragm thickness;The patient is lying flat on the bed. A linear array probe is placed in the mid-axillary line or between the anterior and mid-axillary lines between the eighth and tenth ribs, and measurements are taken.
Measured: up to 9 days
Secondary outcomes (3)
Patient compliance to the treatment
Patients were managed for compliance with the treatment.Dependent judgment
- Complete dependence: patients actively cooperate with medical staff in treatment
- Partial dependence: in most cases, patients can cooperate with the treatment, and in a few cases, patients resist the treatment but receive treatment after being enlightened by the medical staff.
- Non-dependence: patients have strong resistance and resistance, so that they are unable to use ventilators or nasal high-flow humidification instruments.
Measured: during hospitalization, approximately 9 days
Kolcaba Comfort Scale (GCQ) assessment assesses patient comfort
Kolcaba's General Comfort Questionnaire (GCQ) is composed of 28 items from 4 dimensions: physiological, psychological, spiritual, socio-cultural and environmental. The modification Scale adopts 1 to 4Likert Scale, with 1 indicating strongly disagree and 4 indicating strongly agree. In the negative question, 1 means strongly agree and 4 means strongly disagree. A higher score indicates more comfort.
Measured: during hospitalization, approximately 9 days
Dyspnea rating scale
According to the degree of dyspnea and symptoms of the patient, the lowest score is 0, the highest score is 10.
Measured: during hospitalization, approximately 9 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Mar 2023
- Study startMar 2023 (estimated)
- Primary completion1 Jun 2024 (estimated)
- Study completion6 Jun 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for HypoxemiaStudies of the same condition, open and under way.
- More trials run by Qilu Hospital of Shandong UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 243 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Qilu Hospital of Shandong University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Dedong Ma, MD, Principal investigator, Qilu Hospital of Shandong University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05784636
- Sponsor's protocol ID
- 2022039
- Status last verified
- Nov 2022
- First submitted
- 19 Sep 2022
- Last updated
- 27 Mar 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Milesi C, Essouri S, Pouyau R, Liet JM, Afanetti M, Portefaix A, Baleine J, Durand S, Combes C, Douillard A, Cambonie G; Groupe Francophone de Reanimation et d'Urgences Pediatriques (GFRUP). High flow nasal cannula (HFNC) versus nasal continuous positive airway pressure (nCPAP) for the initial respiratory management of acute viral bronchiolitis in young infants: a multicenter randomized controlled trial (TRAMONTANE study). Intensive Care Med. 2017 Feb;43(2):209-216. doi: 10.1007/s00134-016-4617-8. Epub 2017 Jan 26.
PubMed 28124736Lewis SR, Baker PE, Parker R, Smith AF. High-flow nasal cannulae for respiratory support in adult intensive care patients. Cochrane Database Syst Rev. 2021 Mar 4;3(3):CD010172. doi: 10.1002/14651858.CD010172.pub3.
PubMed 33661521Chen BX, Ou Q, Pan MX. [A cross-sectional survey of treatment acceptance and influence factors in patients with obstructive sleep apnea]. Zhonghua Yi Xue Za Zhi. 2018 May 29;98(20):1578-1581. doi: 10.3760/cma.j.issn.0376-2491.2018.20.010. Chinese.
PubMed 29886648
Study at a glance
From the registry record, last updated by the sponsor on 27 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Study on the Effectiveness, Comfort and Compliance of High-flow Nasal Oxygen Therapy and Noninvasive Mechanical Ventilation BiPAP Mode in the Treatment of Hypoxemia Patients
- ClinicalTrials.gov ID
- NCT05784636
- Acronym / sponsor ID
- 2022039
- Conditions
- Hypoxemia
- Keywords
- Hypoxemia, High-flow nasal cannula, Mechanical ventilation
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 243 participants (estimated)
- Lead sponsor
- Qilu Hospital of Shandong UniversityUniversity, hospital or other
- Study start
- Mar 2023 (estimated)
- Primary completion
- 1 Jun 2024 (estimated)
- Study completion
- 6 Jun 2024 (estimated)
- First posted
- 27 Mar 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Patients who met the inclusion criteria were included and signed an informed consent form, which complied with the requirements of the ethics committee of our unit. All subjects were inpatients. Subjects were randomized into two groups. patients in group A were first treated with HFNC on top of conventional treatment, and after 24 hours, patients were treated with non-invasive ventilator-assisted ventilation BiPAP mode until discharge. patients in group B were treated with a non-invasive ventilator on top of conventional treatment, and after 24 hours of treatment, patients were treated with HFNC until discharge. Patient information was collected during treatment.
Detailed description
Patients who met the inclusion criteria were included and signed the informed consent, which met the requirements of the ethics committee of our unit. All subjects were hospitalized patients. Subjects were randomly divided into two groups. Patients in group A were treated with HFNC on the basis of conventional treatment. The initial parameters were: temperature:31-37℃, flow: 30-40l /min, SpO2 > 92% maintained, the oxygen concentration was adjusted according to the patient's oxygen saturation, and the treatment time was 24h. Twenty-four hours later, the patients were treated with non-invasive ventilator-assisted ventilation BiPAP mode until discharge. On the basis of conventional treatment, patients in group B were given a non-invasive ventilator with the following initial parameters: BiPaP mode, initial inspiratory pressure (IPAP) of 8-15cmH2O, initial expiratory pressure (EPAP) of 4-8cmH2O. The parameters were adjusted according to the specific conditions of the patients. After 24 hours of treatment, the patient was treated with HFNC until discharge. Patient information was collected during treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Non-invasive BiPAP ventilation treatment group | Experimental | Device: Non-invasive BiPAP ventilation, Device: HFNCPatients were first treated with HFNC on the basis of conventional treatment. The initial parameters were temperature: 31-37 °C, flow rate: 30-40 L/min, maintaining SpO2>92%, adjusting oxygen concentration according to blood oxygen saturation, and treatment duration was 24 h. After 24 h, patients were treated with non-invasive ventilator-assisted ventilation BiPAP mode until discharge |
| HFNC treatment group | Experimental | Device: Non-invasive BiPAP ventilation, Device: HFNCOn the basis of conventional treatment, patients were first administered a noninvasive ventilator with the following initial parameters. BiPAP mode with an initial inspiratory pressure (IPAP) of 8-15 cmH2O and an initial expiratory pressure (EPAP) of 4-8 cmH2O. These parameters were adjusted according to the patient's specific conditions. After 24 hours of treatment, patients received HFNC until discharge. |
Who may qualify
- Ages
- 20 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- . PaO2 < 60mmHg, SpO2 < 92%(without oxygen inhalation);
- Mild to moderate type I respiratory failure (100 mmHg < PaO/Fi02≤300 mmHg);
Key exclusion criteria (8 listed)
- Missing primary outcome measures
- Terminal stage of various chronic diseases;
- The patient or family members do not agree to NIV or HFNI treatment;
- Severe type I respiratory failure (PaO2/Fi02≤100 mmHg)
- Ventilation dysfunction (pH<7.30)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Non-invasive BiPAP ventilationAlso: HFNCPatients were first treated with HFNC (High-flow nasal cannula) on the basis of conventional treatment. The initial parameters were temperature: 31-37 °C, flow rate: 30-40l /min, maintaining SpO2>92%, adjusting oxygen concentration according to blood oxygen saturation, and treatment duration was 24 h. After 24 h, patients were treated with non-invasive ventilator-assisted ventilation BiPAP mode until discharge. | Device | HFNC treatment group, Non-invasive BiPAP ventilation treatment group |
| HFNCAlso: Non-invasive BiPAP ventilationOn the basis of conventional treatment, patients were first administered a noninvasive ventilator with the following initial parameters. BiPAP mode with an initial inspiratory pressure (IPAP) of 8-15 cmH2O and an initial expiratory pressure (EPAP) of 4-8 cmH2O. These parameters were adjusted according to the patient's specific conditions. After 24 hours of treatment, patients received HFNC (High-flow nasal cannula) until discharge. | Device | HFNC treatment group, Non-invasive BiPAP ventilation treatment group |
Primary outcome
HR
Time frame: At the time of enrollment in the clinical study
Heart rate
HR
Time frame: On the first hour after enrollment
Heart rate
HR
Time frame: On the second hour after enrollment
Heart rate
HR
Time frame: On the 6th hour after enrollment
Heart rate
HR
Time frame: On the 12th hour after enrollment
Heart rate
HR
Time frame: On the 24th hour after enrollment
Heart rate
HR
Time frame: On the 25th hour after enrollment (On the first hour after crossover)
Heart rate
HR
Time frame: On the 26th hour after enrollment (On the second hour after crossover)
Heart rate
HR
Time frame: On the 30th hour after enrollment (On the 6th hour after crossover)
Heart rate
HR
Time frame: On the 36th hour after enrollment (On the 12th hour after crossover)
Heart rate
HR
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Heart rate
HR
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Heart rate
HR
Time frame: On the 4th day after enrollment (On the third day after crossover)
Heart rate
HR
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Heart rate
HR
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Heart rate
HR
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Heart rate
HR
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Heart rate
HR
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Heart rate
RR
Time frame: At the time of enrollment in the clinical study
Respiratory rate
RR
Time frame: On the first hour after enrollment
Respiratory rate
RR
Time frame: On the second hour after enrollment
Respiratory rate
RR
Time frame: On the 6th hour after enrollment
Respiratory rate
RR
Time frame: On the 12th hour after enrollment
Respiratory rate
RR
Time frame: On the 24th hour after enrollment
Respiratory rate
RR
Time frame: On the 25th hour after enrollment (On the first hour after crossover)
Respiratory rate
RR
Time frame: On the 26th hour after enrollment (On the second hour after crossover)
Respiratory rate
RR
Time frame: On the 30th hour after enrollment (On the 6th hour after crossover)
Respiratory rate
RR
Time frame: On the 36th hour after enrollment (On the 12th hour after crossover)
Respiratory rate
RR
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Respiratory rate
RR
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Respiratory rate
RR
Time frame: On the 4th day after enrollment (On the third day after crossover)
Respiratory rate
RR
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Respiratory rate
RR
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Respiratory rate
RR
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Respiratory rate
RR
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Respiratory rate
RR
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Respiratory rate
BP
Time frame: At the time of enrollment in the clinical study
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the first hour after enrollment
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the second hour after enrollment
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 6th hour after enrollment
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 12th hour after enrollment
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 24th hour after enrollment
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 25th hour after enrollment (On the first hour after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 26th hour after enrollment (On the second hour after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 30th hour after enrollment (On the 6th hour after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 36th hour after enrollment (On the 12th hour after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 4th day after enrollment (On the third day after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
BP
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Blood pressure (Includes systolic and diastolic blood pressure)
SO2
Time frame: At the time of enrollment in the clinical study
Pulse oxygen saturation
SO2
Time frame: On the first hour after enrollment
Pulse oxygen saturation
SO2
Time frame: On the second hour after enrollment
Pulse oxygen saturation
SO2
Time frame: On the 6th hour after enrollment
Pulse oxygen saturation
SO2
Time frame: On the 12th hour after enrollment
Pulse oxygen saturation
SO2
Time frame: On the 24th hour after enrollment
Pulse oxygen saturation
SO2
Time frame: On the 25th hour after enrollment (On the first hour after crossover)
Pulse oxygen saturation
SO2
Time frame: On the 26th hour after enrollment (On the second hour after crossover)
Pulse oxygen saturation
SO2
Time frame: On the 30th hour after enrollment (On the 6th hour after crossover)
Pulse oxygen saturation
SO2
Time frame: On the 36th hour after enrollment (On the 12th hour after crossover)
Pulse oxygen saturation
SO2
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Pulse oxygen saturation
SO2
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Pulse oxygen saturation
SO2
Time frame: On the 4th day after enrollment (On the third day after crossover)
Pulse oxygen saturation
SO2
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Pulse oxygen saturation
SO2
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Pulse oxygen saturation
SO2
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Pulse oxygen saturation
SO2
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Pulse oxygen saturation
SO2
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Pulse oxygen saturation
pH
Time frame: At the time of enrollment in the clinical study
Degree of pH in arterial blood
pH
Time frame: On the 24th hour after enrollment
Degree of pH in arterial blood
pH
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Degree of pH in arterial blood
pH
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Degree of pH in arterial blood
pH
Time frame: On the 4th day after enrollment (On the 3th day after crossover)
Degree of pH in arterial blood
pH
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Degree of pH in arterial blood
pH
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Degree of pH in arterial blood
pH
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Degree of pH in arterial blood
pH
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Degree of pH in arterial blood
pH
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Degree of pH in arterial blood
PaO2
Time frame: At the time of enrollment in the clinical study
Partial arterial oxygen pressure
PaO2
Time frame: On the 24th hour after enrollment
Partial arterial oxygen pressure
PaO2
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Partial arterial oxygen pressure
PaO2
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Partial arterial oxygen pressure
PaO2
Time frame: On the 4th day after enrollment (On the 3th day after crossover)
Partial arterial oxygen pressure
PaO2
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Partial arterial oxygen pressure
PaO2
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Partial arterial oxygen pressure
PaO2
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Partial arterial oxygen pressure
PaO2
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Partial arterial oxygen pressure
PaO2
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Partial arterial oxygen pressure
SaO2
Time frame: At the time of enrollment in the clinical study
Arterial oxygen saturation
SaO2
Time frame: On the 24th hour after enrollment
Arterial oxygen saturation
SaO2
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Arterial oxygen saturation
SaO2
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Arterial oxygen saturation
SaO2
Time frame: On the 4th day after enrollment (On the third day after crossover)
Arterial oxygen saturation
SaO2
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Arterial oxygen saturation
SaO2
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Arterial oxygen saturation
SaO2
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Arterial oxygen saturation
SaO2
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Arterial oxygen saturation
SaO2
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Arterial oxygen saturation
PCO2
Time frame: At the time of enrollment in the clinical study
partial pressure of carbon dioxide in arterial blood
PCO2
Time frame: On the 24th hour after enrollment
partial pressure of carbon dioxide in arterial blood
PCO2
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
partial pressure of carbon dioxide in arterial blood
PCO2
Time frame: On the third day after enrollment (On the 48th hour after crossover)
partial pressure of carbon dioxide in arterial blood
PCO2
Time frame: On the 4th day after enrollment (On the third day after crossover)
partial pressure of carbon dioxide in arterial blood
PCO2
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
partial pressure of carbon dioxide in arterial blood
PCO2
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
partial pressure of carbon dioxide in arterial blood
PCO2
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
partial pressure of carbon dioxide in arterial blood
PCO2
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
partial pressure of carbon dioxide in arterial blood
PCO2
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
partial pressure of carbon dioxide in arterial blood
FiO2
Time frame: At the time of enrollment in the clinical study
Fraction of inspiration O2
FiO2
Time frame: On the 24th hour after enrollment
Fraction of inspiration O2
FiO2
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Fraction of inspiration O2
FiO2
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Fraction of inspiration O2
FiO2
Time frame: On the 4th day after enrollment (On the third day after crossover)
Fraction of inspiration O2
FiO2
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Fraction of inspiration O2
FiO2
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Fraction of inspiration O2
FiO2
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Fraction of inspiration O2
FiO2
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Fraction of inspiration O2
FiO2
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Fraction of inspiration O2
Lac
Time frame: At the time of enrollment in the clinical study
Lactic acid in arterial blood
Lac
Time frame: On the 24th hour after enrollment
Lactic acid in arterial blood
Lac
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Lactic acid in arterial blood
Lac
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Lactic acid in arterial blood
Lac
Time frame: On the 4th day after enrollment (On the third day after crossover)
Lactic acid in arterial blood
Lac
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Lactic acid in arterial blood
Lac
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Lactic acid in arterial blood
Lac
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Lactic acid in arterial blood
Lac
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Lactic acid in arterial blood
Lac
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Lactic acid in arterial blood
Glu
Time frame: At the time of enrollment in the clinical study
Arterial blood glucose in arterial blood
Glu
Time frame: On the 24th hour after enrollment
Arterial blood glucose in arterial blood
Glu
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Arterial blood glucose in arterial blood
Glu
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Arterial blood glucose in arterial blood
GLu
Time frame: On the 4th day after enrollment (On the third day after crossover)
Arterial blood glucose in arterial blood
Glu
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Arterial blood glucose in arterial blood
Glu
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Arterial blood glucose in arterial blood
Glu
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Arterial blood glucose in arterial blood
Glu
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Arterial blood glucose in arterial blood
Glu
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Arterial blood glucose in arterial blood
A-aDO2
Time frame: At the time of enrollment in the clinical study
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
A-aDO2
Time frame: On the 24th hour after enrollment
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
A-aDO2
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
A-aDO2
Time frame: On the third day after enrollment (On the 48th hour after crossover)
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
A-aDO2
Time frame: On the 4th day after enrollment (On the third day after crossover)
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
A-aDO2
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
A-aDO2
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
A-aDO2
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
A-aDO2
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
A-aDO2
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
The difference between the oxygen partial pressure of alveolar air and the oxygen partial pressure of arterial blood
BE
Time frame: At the time of enrollment in the clinical study
Base excess in arterial blood
BE
Time frame: On the 24th hour after enrollment
Base excess in arterial blood
BE
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Base excess in arterial blood
BE
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Base excess in arterial blood
BE
Time frame: On the 4th day after enrollment (On the third day after crossover)
Base excess in arterial blood
BE
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Base excess in arterial blood
BE
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Base excess in arterial blood
BE
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Base excess in arterial blood
BE
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Base excess in arterial blood
BE
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Base excess in arterial blood
RI
Time frame: At the time of enrollment in the clinical study
Respiratory Index
RI
Time frame: On the 24th hour after enrollment
Respiratory Index
RI
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Respiratory Index
RI
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Respiratory Index
RI
Time frame: On the 4th day after enrollment (On the third day after crossover)
Respiratory Index
RI
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Respiratory Index
RI
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Respiratory Index
RI
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Respiratory Index
RI
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Respiratory Index
RI
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Respiratory Index
Arterial blood HCO3- concentration
Time frame: At the time of enrollment in the clinical study
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Arterial blood HCO3- concentration
Time frame: On the 24th hour after enrollment
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Arterial blood HCO3- concentration
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Arterial blood HCO3- concentration
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Arterial blood HCO3- concentration
Time frame: On the 4th day after enrollment (On the third day after crossover)
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Arterial blood HCO3- concentration
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Arterial blood HCO3- concentration
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Arterial blood HCO3- concentration
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Arterial blood HCO3- concentration
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Arterial blood HCO3- concentration
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Arterial blood HCO3- concentration,including arterial blood HCO3- std concentration
Arterial blood K+ concentration
Time frame: At the time of enrollment in the clinical study
Arterial blood K+ concentration
Arterial blood K+ concentration
Time frame: On the 24th hour after enrollment
Arterial blood K+ concentration
Arterial blood K+ concentration
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Time frame: On the 4th day after enrollment (On the third day after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Arterial blood K+ concentration
Arterial blood K+ concentration
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Arterial blood K+ concentration
Arterial blood Ca2+ concentration
Time frame: At the time of enrollment in the clinical study
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Time frame: On the 24th hour after enrollment
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Time frame: On the 4th day after enrollment (On the third day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Ca2+ concentration
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Arterial blood Ca2+ concentration
Arterial blood Na+ concentration
Time frame: At the time of enrollment in the clinical study
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Time frame: On the 24th hour after enrollment
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Time frame: On the 4th day after enrollment (On the third day after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Arterial blood Na+ concentration
Arterial blood Na+ concentration
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Arterial blood Na+ concentration
TCO2
Time frame: At the time of enrollment in the clinical study
Total carbon dioxide in arterial blood
TCO2
Time frame: On the 24th hour after enrollment
Total carbon dioxide in arterial blood
TCO2
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Total carbon dioxide in arterial blood
TCO2
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Total carbon dioxide in arterial blood
TCO2
Time frame: On the 4th day after enrollment (On the third day after crossover)
Total carbon dioxide in arterial blood
TCO2
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Total carbon dioxide in arterial blood
TCO2
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Total carbon dioxide in arterial blood
TCO2
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Total carbon dioxide in arterial blood
TCO2
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Total carbon dioxide in arterial blood
TCO2
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Total carbon dioxide in arterial blood
HCT
Time frame: At the time of enrollment in the clinical study
hematocrit in arterial blood
HCT
Time frame: On the 24th hour after enrollment
hematocrit in arterial blood
HCT
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
hematocrit in arterial blood
HCT
Time frame: On the third day after enrollment (On the 48th hour after crossover)
hematocrit in arterial blood
HCT
Time frame: On the 4th day after enrollment (On the third day after crossover)
hematocrit in arterial blood
HCT
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
hematocrit in arterial blood
HCT
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
hematocrit in arterial blood
HCT
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
hematocrit in arterial blood
HCT
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
hematocrit in arterial blood
HCT
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
hematocrit in arterial blood
tHbc
Time frame: At the time of enrollment in the clinical study
Total hemoglobin in arterial blood
tHbc
Time frame: On the 24th hour after enrollment
Total hemoglobin in arterial blood
tHbc
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Total hemoglobin in arterial blood
tHbc
Time frame: On the third day after enrollment (On the 48th hour after crossover)
Total hemoglobin in arterial blood
tHbc
Time frame: On the 4th day after enrollment (On the third day after crossover)
Total hemoglobin in arterial blood
tHbc
Time frame: On the 5th day after enrollment (On the 4th day after crossover)
Total hemoglobin in arterial blood
tHbc
Time frame: On the 6th day after enrollment (On the 5th day after crossover)
Total hemoglobin in arterial blood
tHbc
Time frame: On the 7th day after enrollment (On the 6th day after crossover)
Total hemoglobin in arterial blood
tHbc
Time frame: On the 8th day after enrollment (On the 7th day after crossover)
Total hemoglobin in arterial blood
tHbc
Time frame: On the 9th day after enrollment (On the 8th day after crossover)
Total hemoglobin in arterial blood
height
Time frame: At the time of enrollment in the clinical study
m
Weight
Time frame: At the time of enrollment in the clinical study
Kg
gender
Time frame: At the time of enrollment in the clinical study
Male and female
age
Time frame: At the time of enrollment in the clinical study
year
WBC
Time frame: On the first day after enrollment
The number of white blood cells in venous blood
WBC
Time frame: up to 9 days
The number of white blood cells in venous blood
NEU
Time frame: On the first day after enrollment
The number of Neutrophil granulocyte in venous blood
NEU
Time frame: up to 9 days
The number of Neutrophil granulocyte in venous blood
LYM
Time frame: On the first day after enrollment
The number of Venous blood lymphocytes in venous blood
LYM
Time frame: up to 9 days
The number of Venous blood lymphocytes in venous blood
EOS
Time frame: On the first day after enrollment
The number of Venous blood eosinophils in venous blood
EOS
Time frame: up to 9 days
The number of Venous blood eosinophils in venous blood
BAS
Time frame: On the first day after enrollment
The number of Venous blood Basophils in venous blood
BAS
Time frame: up to 9 days
The number of Venous blood Basophils in venous blood
MON
Time frame: On the first day after enrollment
The number of Venous blood Monocyte cell in venous blood
MON
Time frame: up to 9 days
The number of Venous blood Monocyte cell in venous blood
RBC
Time frame: On the first day after enrollment
The number of red blood cells in venous blood
RBC
Time frame: up to 9 days
The number of red blood cells in venous blood
HGB
Time frame: On the first day after enrollment
The number of haemoglobin in venous blood
HGB
Time frame: up to 9 days
The number of haemoglobin in venous blood
HCT
Time frame: On the first day after enrollment
hematocrit in venous blood
HCT
Time frame: up to 9 days
hematocrit in venous blood
MCV
Time frame: On the first day after enrollment
Mean Corpuscular Volume in venous blood
MCV
Time frame: up to 9 days
Mean Corpuscular Volume in venous blood
MCH
Time frame: On the first day after enrollment
Mean Corpuscular Haemoglobin Concentration in venous blood
MCH
Time frame: up to 9 days
Mean Corpuscular Haemoglobin Concentration in venous blood
RDW
Time frame: On the first day after enrollment
red blood cell distribution width in venous blood
RDW
Time frame: up to 9 days
red blood cell distribution width in venous blood
PLT
Time frame: On the first day after enrollment
platelet in venous blood
PLT
Time frame: up to 9 days
platelet in venous blood
PDW
Time frame: On the first day after enrollment
Platelet distributionwidth in venous blood
PDW
Time frame: up to 9 days
Platelet distributionwidth in venous blood
MPV
Time frame: On the first day after enrollment
Mean Platelet Volume in venous blood
MPV
Time frame: up to 9 days
Mean Platelet Volume in venous blood
plateletcrit
Time frame: On the first day after enrollment
plateletcrit in venous blood
plateletcrit
Time frame: up to 9 days
plateletcrit in venous blood
CRP
Time frame: On the first day after enrollment
C-reactive protein in venous blood
CRP
Time frame: up to 9 days
C-reactive protein in venous blood
PCT
Time frame: On the first day after enrollment
Procalcitonin in venous blood
PCT
Time frame: up to 9 days
Procalcitonin in venous blood
NT-proBNP
Time frame: On the first day after enrollment
NT-proBNP in venous blood
NT-proBNP
Time frame: up to 9 days
NT-proBNP in venous blood
ESR
Time frame: On the first day after enrollment
erythrocytesedimentationrate in venous blood
ESR
Time frame: up to 9 days
erythrocytesedimentationrate in venous blood
PT
Time frame: On the first day after enrollment
prothrombin time in venous blood
PT
Time frame: up to 9 days
prothrombin time in venous blood
APTT
Time frame: On the first day after enrollment
activated partial thromboplastin time in venous blood
APTT
Time frame: up to 9 days
activated partial thromboplastin time in venous blood
TT
Time frame: On the first day after enrollment
Thrombin time in venous blood
TT
Time frame: up to 9 days
Thrombin time in venous blood
D-Di
Time frame: On the first day after enrollment
D-Dimer in venous blood
D-Di
Time frame: up to 9 days
D-Dimer in venous blood
ALT
Time frame: On the first day after enrollment
alanine transaminase in venous blood
ALT
Time frame: up to 9 days
alanine transaminase in venous blood
AST
Time frame: On the first day after enrollment
Aspartate Transaminase in venous blood
AST
Time frame: up to 9 days
Aspartate Transaminase in venous blood
PA
Time frame: On the first day after enrollment
Serum prealbumin in venous blood
PA
Time frame: up to 9 days
Serum prealbumin in venous blood
TP
Time frame: On the first day after enrollment
Total serum protein in venous blood
TP
Time frame: up to 9 days
Total serum protein in venous blood
ALB
Time frame: On the first day after enrollment
Albumin protein in venous blood
ALB
Time frame: up to 9 days
Albumin protein in venous blood
GLB
Time frame: On the first day after enrollment
Globulin globulin in venous blood
GLB
Time frame: up to 9 days
Globulin globulin in venous blood
Cr
Time frame: On the first day after enrollment
creatinine in venous blood
Cr
Time frame: up to 9 days
creatinine in venous blood
BUN
Time frame: On the first day after enrollment
Urea nitrogen in venous blood
BUN
Time frame: up to 9 days
Urea nitrogen in venous blood
Cys-C
Time frame: On the first day after enrollment
Cystatin C in venous blood
Cys-C
Time frame: up to 9 days
Cystatin C in venous blood
eGFR
Time frame: On the first day after enrollment
Estimate glomerular filtration rate in venous blood
eGFR
Time frame: up to 9 days
Estimate glomerular filtration rate in venous blood
Respiratory support time
Time frame: during hospitalization, approximately 9 days
Daily respiratory support time after patients were enrolled in the clinical study,h/Day
Relief time for dyspnea
Time frame: during hospitalization, approximately 9 days
Remission time of dyspnea after intervention
Tracheal intubation
Time frame: during hospitalization, approximately 9 days
Yes or No
Stay in the ICU
Time frame: during hospitalization, approximately 9 days
Yes or No
Complications
Time frame: during hospitalization, approximately 9 days
Facial injury, flatulence,Gastroesophageal reflux,Dry throat, sore throat,pneumothorax,Eye irritation discomfort,Low blood pressure.
Outcome of disease
Time frame: during hospitalization, approximately 9 days
Get better, get worse, die
Total bilirubin
Time frame: On the first day after enrollment
Serum total bilirubin in venous blood
Total bilirubin
Time frame: up to 9 days
Serum total bilirubin in venous blood
DBIL
Time frame: On the first day after enrollment
Direct bilirubin in venous blood
DBIL
Time frame: up to 9 days
Direct bilirubin in venous blood
IBIL
Time frame: On the first day after enrollment
Indirect bilirubin in venous blood
IBIL
Time frame: up to 9 days
Indirect bilirubin in venous blood
Diaphragm mobility
Time frame: At the time of enrollment in the clinical study
The patient is lying in a flat position. The convex array probe is placed at the junction of the anterior axillary line, midclavicular line, and rib margin (bilaterally), with the probe mark facing outward and downward for measurement.
Diaphragm mobility
Time frame: On the 24th hour after enrollment
The patient is lying in a flat position. The convex array probe is placed at the junction of the anterior axillary line, midclavicular line, and rib margin (bilaterally), with the probe mark facing outward and downward for measurement.
Diaphragm mobility
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
The patient is lying in a flat position. The convex array probe is placed at the junction of the anterior axillary line, midclavicular line, and rib margin (bilaterally), with the probe mark facing outward and downward for measurement.
Diaphragm mobility
Time frame: up to 9 days
The patient is lying in a flat position. The convex array probe is placed at the junction of the anterior axillary line, midclavicular line, and rib margin (bilaterally), with the probe mark facing outward and downward for measurement.
Diaphragm thickness
Time frame: At the time of enrollment in the clinical study
Includes end-inspiratory diaphragm thickness and end-expiratory diaphragm thickness;The patient is lying flat on the bed. A linear array probe is placed in the mid-axillary line or between the anterior and mid-axillary lines between the eighth and tenth ribs, and measurements are taken.
Diaphragm thickness
Time frame: On the 24th hour after enrollment
Includes end-inspiratory diaphragm thickness and end-expiratory diaphragm thickness;The patient is lying flat on the bed. A linear array probe is placed in the mid-axillary line or between the anterior and mid-axillary lines between the eighth and tenth ribs, and measurements are taken.
Diaphragm thickness
Time frame: On the 48th hour after enrollment (On the 24th hour after crossover)
Includes end-inspiratory diaphragm thickness and end-expiratory diaphragm thickness;The patient is lying flat on the bed. A linear array probe is placed in the mid-axillary line or between the anterior and mid-axillary lines between the eighth and tenth ribs, and measurements are taken.
Diaphragm thickness
Time frame: up to 9 days
Includes end-inspiratory diaphragm thickness and end-expiratory diaphragm thickness;The patient is lying flat on the bed. A linear array probe is placed in the mid-axillary line or between the anterior and mid-axillary lines between the eighth and tenth ribs, and measurements are taken.
3 secondary outcomes
Patient compliance to the treatment
Time frame: during hospitalization, approximately 9 days
Kolcaba Comfort Scale (GCQ) assessment assesses patient comfort
Time frame: during hospitalization, approximately 9 days
Dyspnea rating scale
Time frame: during hospitalization, approximately 9 days
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Mar 2023.
- Results publication: PubMed 28124736Milesi C, Essouri S, Pouyau R, Liet JM, Afanetti M, Portefaix A, Baleine J, Durand S, Combes C, Douillard A, Cambonie G; Groupe Francophone de Reanimation et d'Urgences Pediatriques (GFRUP). High flow nasal cannula (HFNC) versus nasal continuous positive airway pressure (nCPAP) for the initial respiratory management of acute viral bronchiolitis in young infants: a multicenter randomized controlled trial (TRAMONTANE study). Intensive Care Med. 2017 Feb;43(2):209-216. doi: 10.1007/s00134-016-4617-8. Epub 2017 Jan 26.
- Results publication: PubMed 33661521Lewis SR, Baker PE, Parker R, Smith AF. High-flow nasal cannulae for respiratory support in adult intensive care patients. Cochrane Database Syst Rev. 2021 Mar 4;3(3):CD010172. doi: 10.1002/14651858.CD010172.pub3.
- Results publication: PubMed 29886648Chen BX, Ou Q, Pan MX. [A cross-sectional survey of treatment acceptance and influence factors in patients with obstructive sleep apnea]. Zhonghua Yi Xue Za Zhi. 2018 May 29;98(20):1578-1581. doi: 10.3760/cma.j.issn.0376-2491.2018.20.010. Chinese.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Dedong Ma, MD principal investigator
Qilu Hospital of Shandong University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Non-invasive BiPAP ventilation and HFNC in people with Hypoxemia, run by Qilu Hospital of Shandong University at 1 site in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 27 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Dedong Ma, MD (18560082806, ma@qiluhuxi.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
HR (time frame: At the time of enrollment in the clinical study). The study lists 334 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05784636, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Mar 2023.