Non-invasive Ventilation Versus High Flow Oxygen

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorNiguarda Hospital

About this trial

The purpose of the study is to compare the efficacy of alternating Non Invasive Ventilation NIV and High Flow Oxygen HFO compared to High Flow Oxygen HFO alone on gas exchanges and prognosis in pneumonia-associated acute hypoxemic respiratory failure

Eligibility criteria

Qualifiers

Clinical criteria: fever, cough, purulent sputum, pulmonary examination positive for signs consistent with pneumonia

Laboratory criteria: leukocytosis (White blood cells >10000/mcL) or leukopenia (White blood cells < 4000/mcL), rise of the inflammatory markers

Radiologic criteria: consolidations at Chest X-ray or CT scan

Hypoxemic respiratory failure, based on all the following criteria

Disqualifiers

Age < 18 years

Hypercapnic respiratory failure (pCO2 > 60 mmHg at presentation) such as in Chronic Obstructive Pulmonary Disease

Presence of another cause of hypoxemic respiratory failure - e.g. pulmonary embolism, acute respiratory distress syndrome (ARDS), pulmonary oedema

Hemodynamic instability with necessity for use of inotropes and/or vasopressors

Trial design

Treatments tested in this trial

  • High Flow Oxygen nasal cannula
  • Noninvasive ventilation

Treatment groups

128 Participants
are divided into 2 treatment groups

Sponsors and collaborators