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Evaluation of Conventional Non-invasive Mechanical Ventilation (NIV) Versus an Automatic Ventilation Mode.

Evaluation of Conventional Non-invasive Mechanical Ventilation (NIV) Versus an Automatic Ventilation Mode in Patients With NIV Criteria.

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03872167
Enrollment
26
Registered
2019-03-13
Start date
2018-06-15
Completion date
2024-02-15
Last updated
2024-02-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hypercapnic Respiratory Failure, Hypoxemic Respiratory Failure

Keywords

NIV, hypoxemia, hypercapnia

Brief summary

To evaluate the polysomnographic performance of an automatic ventilatory mode compared with the gold standard (manual polysomnographic titration) to adjust chronic non-invasive ventilation by means of a randomized cross-over study.

Detailed description

Prospective randomized crossover study in 26 patients with chronic non-invasive ventilation (NIV) criteria, comparing the NIV titration with polysomnography vs an automatic mode of ventilation. It will be compared with clinical parameters of ventilation, blood analysis and inflammation reactants as well as evaluating the patient's comfort after each mode.

Interventions

DEVICEBIPAP, Intelligent automatic mode defined by assured volume with pressure support

Correction of night ventilation through an automatic mode of ventilation with assured volume with pressure support

DEVICEBIPAP, manual tritration.

Correction of night ventilation through a manual titration of non-invasive mechanical ventilation using polysomnography.

Sponsors

Hospital Clinic of Barcelona
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

chronic respiratory failure * Diurnal hipercapnia and/or nocturnal hypoventilation (CT90% \>10%)

Exclusion criteria

* Under 18 years old. * Presence of severe uncontrolled cardiac comorbidity. * Impossibility to achieve adaptation to therapy in the training session.

Design outcomes

Primary

MeasureTime frameDescription
Partial pressure of carbon dioxide (PaCO2)two weeksMeasure levels after each polysomnography using arterial blood gases
Partial pressure of oxygen (PaO2)two weeksMeasure levels after each polysomnography using arterial blood gases

Secondary

MeasureTime frameDescription
Oxygen saving time below 90% (CT90%)one monthAssess the polysomnography reduction in CT90% through the night study.

Countries

Spain

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026