Status:

TERMINATED

Comparison of High Flow Nasal Cannula (HFNC), Face-mask Non-Invasive Ventilation (NIV) & Helmet NIV in COVID-19 ARDS Patients

Lead Sponsor:

Sultan Qaboos University

Conditions:

Acute Respiratory Distress Syndrome Caused by COVID-19

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Objective: To determine whether NIV delivered through helmet interface reduces intubation rate among patients with COVID-19 ARDS compared to face-mask NIV and HFNC. Design, setting \& participants: T...

Detailed Description

Inclusion criteria: * \> 18 years of age * confirmed COVID-19 * Within 48 hours of presentation in the emergency department, high dependency area or intensive care unit (ICU) * ARDS according to Berl...

Eligibility Criteria

Inclusion

  • \> 18 years of age
  • confirmed COVID-19
  • Within 48 hours of presentation in the emergency department, high dependency area or intensive care unit (ICU)
  • ARDS according to Berlin definition (P/F \< 300) or O2 saturation \< 90% or RR \> 30/min) in room air
  • Standard oxygen therapy at flow rate \< 15L/min x 60 minutes

Exclusion

  • More than 48 hours of admission to the emergency department, high dependency or intensive care unit
  • More than 4 hours on NIV or HFNC before enrolment
  • Impending cardiopulmonary arrest
  • Need for immediate endotracheal intubation
  • Hemodynamic instability or life-threatening arrhythmias
  • GCS \< 8
  • Active intracranial pathology or high ICP
  • Inability to cooperate or protect the airway
  • Pregnancy
  • Tracheostomy
  • DNR or refusing intubation
  • Known type 2 respiratory failure
  • On chronic home oxygen therapy

Key Trial Info

Start Date :

February 2 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 11 2021

Estimated Enrollment :

161 Patients enrolled

Trial Details

Trial ID

NCT04715243

Start Date

February 2 2021

End Date

November 11 2021

Last Update

January 12 2022

Active Locations (1)

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Sultan Qaboos University Hospital

Muscat, Oman, 123