None listed
Conditions
Brief summary
Through the calculation of routinely collected patient data, we hope this study will demonstrate a numerical value which can be used to predict the success or failure of non-invasive ventilation. This is a form of respiratory support given to patients who are short of breath.
Interventions
Non-invasive ventilation commenced in the emergency department, as practiced by emergency department clinicians. The researchers will collect routinely recorded patient observations (such as heart rate, respiratory rate, oxygen saturations) in addition to the routinely documented NIV settings, prospectively for any patient commenced on NIV in our ED in order to then calculate the ROX for each patient at specific time stamps. A waiver of consent has been granted from the local ethics committee as
Non-invasive ventilation commenced in the emergency department, as practiced by emergency department clinicians. The researchers will collect routinely recorded patient observations (such as heart rate, respiratory rate, oxygen saturations) in addition to the routinely documented NIV settings, prospectively for any patient commenced on NIV in our ED in order to then calculate the ROX for each patient at specific time stamps. A waiver of consent has been granted from the local ethics committee as the study does not intervene in routinely delivered treatment. Data from participants will be collected for the duration of their NIV usage, or until it is removed, or 12 hours - whichever may come first.
Sponsors
Liverpool Hospital Emergency Department
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
This pragmatic study will include all patients aged 18 or over who are commenced on NIV for breathlessness in the ED, as judged by the treating clinician, regardless of predicted underlying pathology. Breathlessness will be defined by the treating clinician, who will routinely use subjective markers of a patient’s work of breathing as part of clinical assessment, combined with objective data on gas exchange
Exclusion criteria
Prior advanced care directive specifying ’not for intubation’ Comorbidities & disease severity where clinician/family provide limitations of care (i.e. not for intubation or ICU) NIV utilised as a pre-oxygenation strategy with intention to intubate Patients electively intubated for diagnostic or therapeutic procedures, such as fibreoptic bronchoscopy and surgery
Outcome results
None listed