Health Condition 1: J960- Acute respiratory failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All adult patients aged 18-65 years, admitted in ICU requiring HFNC for AHRF.
Exclusion criteria
Exclusion criteria: 1) Patients requiring intubation for surgical procedures. 2) Patients receiving HFNC therapy after extubation. 3) Patients with DNR orders. 4) Patients requiring readmission to ICU and initiated on HFNC therapy. 5) Patients who may require urgent intubation within two hours after HFNC initiation or require ET intubation. 6) Patients who are receiving NIV and HFNC alternately. 7) Refusal of Patient or Patient’s attendants (in case patient is unable to) to consent to study. 8) Patients on Beta-blockers, Beta agonists, alpha-2 agonists, amiodarone, CCB, digoxin or alpha-2 agonists.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Escalation of HFNC (to NIV / Intubation defined as HFNC Failure) predicted using Delta POX-HR at 3 hours Timepoint: 3 hours after HFNC Initiation | — |
Secondary
| Measure | Time frame |
|---|---|
| Escalation of HFNC (to NIV / Intubation defined as HFNC Failure) predicted using Delta POX-HR at 12 hours Timepoint: 12 hours after HFNC Initiation;Escalation of HFNC (to NIV / Intubation defined as HFNC Failure) predicted using Delta POX-HR at 24 hours Timepoint: 24 hours after HFNC Initiation;Escalation of HFNC (to NIV / Intubation defined as HFNC Failure) predicted using Delta POX-HR at 48 hours Timepoint: 48 hours after HFNC Initiation | — |
Countries
India
Contacts
Department of Anaesthesiology, Pain Medicine and Critical Care, AIIMS