Hypercapnic Respiratory Failure, Hypoxemic Respiratory Failure
Conditions
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
Correction of night ventilation through an automatic mode of ventilation with assured volume with pressure support
Correction of night ventilation through a manual titration of non-invasive mechanical ventilation using polysomnography.
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Partial pressure of carbon dioxide (PaCO2) | two weeks | Measure levels after each polysomnography using arterial blood gases |
| Partial pressure of oxygen (PaO2) | two weeks | Measure levels after each polysomnography using arterial blood gases |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oxygen saving time below 90% (CT90%) | one month | Assess the polysomnography reduction in CT90% through the night study. |
Countries
Spain