Respiratory Failure
Conditions
Keywords
Electrical impedance tomography, Nasal Pillow Continuous Positive Airway Pressure(CPAP), High Flow Nasal Cannula, extubation
Brief summary
The difference of lung volume change will be monitored by electrical impedance tomography before and after use of noninvasive positive pressure ventilation by nasal pillow and high flow nasal cannula in post-extubation patients.
Detailed description
Electrical impedance tomography can effectively monitor the lung volume change in ICU patients who were under mechanical ventilator or noninvasive positive pressure ventilator support. Continuous positive airway pressure (CPAP) support by nasal pillow and high flow nasal cannula can improve inspiratory function in extubated patients . However, the extent of lung volume change or functional residual volume (FRC) change by using these two devices were never surveyed before in extubated patients. The investigators will check end-expiratory lung volume (EELV) ,anterior, medio-anterior, medio-posterior and posterior EELV by electrical impedance tomography after use of these two devices in extubated patients.
Interventions
Nasal Pillow CPAP in extubated patients
Sponsors
Study design
Eligibility
Inclusion criteria
* \>20 y/o * Any extubated patients after tolerating spontaneous breathing trial
Exclusion criteria
* Presence of tracheostomy * Recent facial trauma * Active gastro-intestinal bleeding * Do-not-intubate status and * Planned use of BiPAP after extubation. * Patients with unstable spinal lesions or fractures. * BMI\> 50 * Patients with a cardiac pacemaker * Burn injury with skin defect
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • End-expiratory lung volume (EELV) determined by electrical impedance tomography after high flow nasal cannula and nasal pillow CPAP | at day 1 |
Secondary
| Measure | Time frame |
|---|---|
| Anterior, medio-anterior, medio-posterior and posterior EELV at each time | at day 1 |
Countries
Taiwan