Health Condition 1: J40-J47- Chronic lower respiratory diseases Health Condition 2: J09-J18- Influenza and pneumonia Health Condition 3: J95-J95- Intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified Health Condition 4: J20-J22- Other acute lower respiratory infections
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with Type I (Hypoxemic) respiratory failure, without any hemodynamic compromise. Hypoxemic respiratory failure is defined as respiratory rate > 30 breaths/min and an FiO2 requirement of 50% or more to obtain oxygen saturation of at least 90%, and PaO2 to FiO2 ratio below 300 mmHg, in the 4 hours before inclusion. Hemodynamic compromise is defined as MAP
Exclusion criteria
Exclusion criteria: 1.Patients with anticipated difficult airway as evaluated using MACOCHA score 2.Pregnant or breast feeding woman 3.Contraindications to nasopharyngeal airway insertion like nasopharyngeal obstruction, coagulopathies etc.. 4.Contraindications to NIV such as patients with claustrophobia, full stomach and GCS 5.Contraindications to Ketamine and Succinylcholine such as raised intracranial tension, ischemic heart disease, hyperkalemia etc..
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare CPAP through Nasopharyngeal airway with O2 through Nasal prongs as a mode of Peri-intubation oxygenation for reducing the degree of desaturation while intubating patients with hypoxemic respiratory failure in ICUTimepoint: 18 months | — |
Secondary
| Measure | Time frame |
|---|---|
| : To assess the complications related to intubation of patients with hypoxemia in the ICU: 1. Degree of intubation difficulty as graded on IDS ( Intubation difficulty score) 2. Degree of hemodynamic compromise ( percentage change in HR & MAP) 3. Incidence of Bradycardia or tachyarrhythmiasTimepoint: 18 months | — |
Countries
India
Contacts
SDUAHER, Kolar