Health Condition 1: J960- Acute respiratory failure
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All Patients who are 18 years of age or older will be screened for AHRF, defined as tachypnea (respiratory rate > 25/ min), PaO2/FiO2 ratio Patients with AHRF who fail COT will be identified by any of the following criteria- 1. Worsening tachypnea (RR > 35) , 2. Oxygen saturation 3. Signs of respiratory distress( decreased consciousness, tachycardia, paradoxical respiratory movements, use of accessory muscles)
Exclusion criteria
Exclusion criteria: 1) Chronic respiratory failure, 2) Hemodynamic instability (systolic BP 0.1 mcg/kg/min or Dopamine requirement > 10mcg/kg/min ) 3) A do-not-intubate order 4) Anticipated life expectancy less than 90 days
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Predicting failure of non invasive respiratory therapy (Both HFNC and NIV) in acute hypoxemic respiratory failure by calculating ROX index and HACOR scoreTimepoint: At 1 hour and 6 hours of initiation of NIV or HFNC | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare effectiveness of ROX index and HACOR score for predicting failure of non invasive respiratory therapy (NIV and HFNC) as defined by need of intubationTimepoint: 18 months;To study predictors of failure of non invasive respiratory therapyTimepoint: 18 months | — |
Countries
India
Contacts
Bharati Vidyapeeth (Deemed to be University) Medical College