Status:

COMPLETED

Prehospital CPAP vs. Usual Care for Acute Respiratory Failure

Lead Sponsor:

Dalhousie University

Collaborating Sponsors:

Nova Scotia Health Authority

Conditions:

Respiratory Insufficiency

Hypoxia

Eligibility:

All Genders

16+ years

Phase:

NA

Brief Summary

The purpose of this study is to evaluate the effectiveness of continuous positive airway pressure ventilation when applied by paramedics to individuals with severe breathing difficulties in the prehos...

Detailed Description

Continuous positive airway pressure ventilation (CPAP) has been shown to be effective in avoiding endotracheal intubation (ETI) for patients with acute respiratory failure in hospital but despite seve...

Eligibility Criteria

Inclusion

  • severe dyspnea
  • respiratory rate \>25 breaths/minute
  • hemodynamically stable
  • able to cooperate with ventilatory support measures
  • assessed by paramedics as being in urgent need of ETI and/or manual positive pressure ventilation
  • a trip destination of the QEII Health Sciences Center or Dartmouth General Hospital

Exclusion

  • require ETI for immediate airway protection
  • respiratory rate \< 8 breaths/minute
  • evidence of hemodynamic instability
  • cardiac ischemia
  • any chest pain within 3 hours of presentation
  • valid "do not resuscitate" advanced directive
  • an inadequate supply of portable oxygen

Key Trial Info

Start Date :

July 1 2002

Trial Type :

INTERVENTIONAL

End Date :

March 1 2006

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT00405314

Start Date

July 1 2002

End Date

March 1 2006

Last Update

June 23 2016

Active Locations (1)

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Dalhousie University

Halifax, Nova Scotia, Canada, B3H 1V7