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