Chest Wall Disorders, Neuromuscular Disorders, Obesity Hypoventilation Syndrome (OHS)
Conditions
Brief summary
The purpose of this study is to determine whether breathing pattern (specifically the inspiratory time/total respiratory cycle value) has an influence over the response to the noninvasive mechanical ventilation.
Detailed description
Breathing pattern will be analyzed along the adaptation to 3 different NonInvasive-Mechanical-Ventilation modes (controlled mode, spontaneous mode and placebo mode or simulator).
Interventions
Respiratory rate and duration of inspiration are controlled by the patient. Device model: Stellar 150® (ResMed, Australia).
Ventilator maintains the positive end-expiratory pressure until the patient inspires. At that point, the ventilator reaches the support pressure in a predetermined time. The patient fixes the respiratory rate and the duration of inspiration, triggering all the cycles. Device model: Stellar 150® (ResMed, Australia).
Ventilator maintains a continuous positive airway pressure during the entire cycle. Device model: Stellar 150® (ResMed, Australia).
Sponsors
Study design
Eligibility
Inclusion criteria
* Hypercapnic chronic respiratory failure due to restrictive pulmonary disease (with usual criteria for home NonInvasive Mechanical Ventilation). * Transcutaneous carbon dioxide (CO2) basal pressure ≥ 50 mmHg when conscious. * Clinically stable (within the previous month). * Patients without previous NonInvasive Mechanical Ventilation treatment.
Exclusion criteria
* Clinical exacerbation. * Chronic airflow limitation Forced expiratory volume in 1 second/Forced vital capacity (FEV1/FVC) ratio \< 70% or Sleep Apnea-Hypopnea Syndrome
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Transcutaneous carbon dioxide measurement | One hour |
Secondary
| Measure | Time frame |
|---|---|
| Inspiratory-time/total-respiratory-cycle value | One hour |
Countries
Spain