Traumatic Lung Injury
Conditions
Brief summary
We hypothesize that early and continuous administration of oxygen via high flow nasal cannula in patients with lung contusion and non-severe acute lung injury might reduce the incidence of intubation and hold the deterioration of pulmonary functions.
Interventions
Patients in the intervention group receive oxygen through HFNC with a flow rate of set initially at 40 L / min, FiO2 adjusted to maintain SpO2 ≥ 92%, and will be humidified, heated to 34-37 °C, disconnection will be allowed only when ambulation is required, patients will be instructed to practice mouth closing throughout the HFNC therapy as much as possible
Sponsors
Study design
Eligibility
Inclusion criteria
Willing and able to provide written informed consent prior to performing study procedures, currently hospitalized and requiring medical care for blunt chest trauma, within 24h of trauma
Exclusion criteria
* face trauma or surgery, airway obstruction, known to have chronic chest condition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| need for intubation and mechanical ventilation within 28 days of randomization. | 3 months | the incidence of intubation in patients with lung contusion who receive oxygen through high flow nasal cannula |
Countries
Egypt