Status:

NOT_YET_RECRUITING

Noninvasive Support Methods for Acute Respiratory Failure of Community-acquired Pneumonia

Lead Sponsor:

Assiut University

Conditions:

Community-acquired Pneumonia

Community-Acquired Infections

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This randomized controlled trial aims to compare the efficacy and safety of high-velocity nasal insufflation (HVNI) versus standard noninvasive ventilation (NIV) in adult patients experiencing acute e...

Detailed Description

Community-acquired pneumonia (CAP) is a significant contributor to acute hypoxemic respiratory failure, often necessitating ventilatory support. Noninvasive ventilation (NIV) has been a conventional a...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years
  • Clinical and radiographic diagnosis of CAP
  • Respiratory failure using partial pressure of oxygen (PaO₂) and fraction of inspired oxygen (FiO₂) is defined by a partial pressure of oxygen/fraction of inspired oxygen ratio (PaO₂/FiO₂) ≤ 300 mmHg or a respiratory rate (RR) ≥ 25/min
  • Informed consent obtained

Exclusion

  • Hemodynamic instability requiring vasopressors
  • Altered mental status Glasgow Coma Scale (GCS \< 13)
  • Contraindication to NIV or HVNI (facial trauma, recent upper airway surgery)
  • Do-Not-Intubate (DNI) order

Key Trial Info

Start Date :

July 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 1 2026

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT06996834

Start Date

July 1 2025

End Date

November 1 2026

Last Update

May 30 2025

Active Locations (1)

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Assuit University

Asyut, Assuit, Egypt, 71515