Type-I respiratory failure. Acute respiratory failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with Pa02/FiO2 levels < 300 mmHg and PaCO2 levels less than 45 mmHg with PaO2 and PaCO2 (calculated by ABG (arterial blood gas) analysis) at room air or not maintaining ratio at low oxygenation therapy after administration of oxygen at FiO2 of 0.30
Exclusion criteria
Exclusion criteria: Patients with severe cardiorespiratory compromise Critical patients on vasopressor support Patients with poor lung compliance unable to breath in CPAP Intubated patients or those intubated less than 1 hour of CPAP Patients with a previous failed CPAP trial or on HFNO (high flow nasal oxygenation) in the last 72 hours Patients non-compliant on CPAP despite sedation Patients unwilling to be included in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Failure of NIV after 1-hour on CPAP therapy. Timepoint: 1 hour after CPAP therapy. Method of measurement: Standard HACOR score.;Sensitivity and specificity of HACOR in predicting NIV failure. Timepoint: 1 hour after being on CPAP therapy. Method of measurement: Assessment using standard SPSS software.;Postive and negative predictive value of the HACOR test in assessing NIV failure. Timepoint: 1 hour after being on CPAP therapy. Method of measurement: Standard statistical SPSS software. | — |
Secondary
| Measure | Time frame |
|---|---|
| Heart rate and mean arterial pressure. Timepoint: Before and after 1 hour of CPAP therapy. Method of measurement: Cardiac monitor.;Respiratory rate. Timepoint: Before and after 1 hour of CPAP therapy. Method of measurement: Standard respiratory monitor.;Glasgow coma scale. Timepoint: Before and after 1 hour of CPAP therapy. Method of measurement: Standard Glasgow coma scale.;Pa02/FiO2 ratio. Timepoint: Before and after 1 hour of CPAP therapy. Method of measurement: Using arterial blood gas samples and standard calculating formula. | — |
Countries
Pakistan
Contacts
PNS Shifa Hospital Karachi