Helmet NIV vs. CPAP vs. High-flow Nasal Oxygen in Hypoxemic Respiratory Failure

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorFondazione Policlinico Universitario Agostino Gemelli IRCCS

About this trial

Multicenter, open label, three-arm randomized trial to assess the effect of helmet noninvasive ventilation vs. helmet continuous positive airway pressure vs. high-flow nasal oxygen on the rate of endotracheal intubation of patients with acute moderate-to-severe hypoxemic respiratory failure

Eligibility criteria

Qualifiers

Acute symptoms of respiratory failure PaO2/FiO2 ratio ≤ 200; PaCO2≤45mmHg; Absence of history of chronic respiratory failure or moderate to severe cardiac insufficiency (NYHA>2 or left ventricular ejection fraction<50%); Informed consent

Disqualifiers

Pregnancy;

Exacerbation of asthma or chronic obstructive pulmonary disease;

Hypercapnia (PaCO2>45 mmHg) with or without respiratory acidosis;

More than 2 organ failures, including the lung.

Trial design

Treatments tested in this trial

  • Noninvasive respiratory support

Treatment groups

1,200 Participants
are divided into 3 treatment groups

Sponsors and collaborators

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Lead sponsor

Societa Italiana Anestesia Analgesia Rianimazione e Terapia Intensiva

Collaborator

Catholic University of the Sacred Heart

Collaborator