Acute respiratory failure Respiratory Respiratory failure, not elsewhere classified
Conditions
Interventions
Patients were assigned to one of two groups by closed envelope randomisation:
1. NIV (intervention group)
2. Standard oxygen therapy via face mask (control group)
In both groups, basic therapy inclu
Sponsors
Medical Service of the Bundeswehr (Sanitätsamt der Bundeswehr [SanABw]) (Germany)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Pre-hospital patients: 1. Aged above 18 years, either sex 2. Acute dyspnoea 3. Respiratory rate greater than 25/min 4. Pulse oxymetric oxygen saturation less than 90%
Exclusion criteria
Exclusion criteria: 1. Refusal of NIV 2. Vomiting 3. Glasgow Coma Scale less than 12 points 4. Suspected myocardial ischaemia 5. Systolic blood pressure less than 100 mmHg 6. Pregnancy 7. Injury of face or neck 8. Participation in another study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of endotracheal intubation during first 24 hours of treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Difference of baseline and admission values of: 1.1. Pulse oxymetric oxygen saturation 1.2. Respiratory rate 1.3. Dyspnoea score 1.4. Heart rate 1.5. Systolic diastolic arterial blood pressure 2. Duration of intensive care 3. Incidence and duration of mechanical ventilation, and hospital days 4. Feasibility of NIV was rated at a scale from 1 to 5 (very good, good, acceptable, difficult, not feasible) | — |
Countries
Germany
Outcome results
None listed