Physiological Effects of Continuous Negative External Pressure for Acute Hypoxemic Respiratory Failure

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorColumbia University

About this trial

This study is being conducted to evaluate if wearing a non-invasive breathing support device over the chest/abdomen improves markers of breathing in patients with lung injury requiring high-flow oxygen. The breathing support device consists of a plastic shell that sits over the chest and abdomen and connects to a vacuum that helps the chest expand with breathing. This breathing support is known as continuous negative external pressure (CNEP). Study findings will help determine if this breathing support device might be useful for patients with acute hypoxemic respiratory failure (AHRF).

Eligibility criteria

Qualifiers

Age 18 years or older

Acute hypoxemic respiratory failure

Non-cardiogenic airspace opacities on chest radiograph or computed tomography (CT) scan

High-flow nasal cannula (flow ≥ 30 LPM) initiated within last 96 hours (4 days)

Disqualifiers

Do-not-intubate order

Anatomical factor predisposing to poor fit of cuirass (e.g. severe kyphosis or scoliosis)

Clinically prescribed prone positioning

Tense ascites

Trial design

Treatments tested in this trial

  • HFNC only
  • HFNC + CNEP10
  • HFNC + CNEP20
  • HFNC + CNEP30

Treatment groups

20 Participants
are divided into 4 treatment groups

Sponsors and collaborators