Blunt Injury of Thorax
Conditions
Brief summary
to compare high flow nasal cannula against noninvasive ventilation in patients with non-sever blunt chest trauma in improvement of oxygenation, need for intubation and mechanical ventilation within 28 days
Interventions
high flow nasal cannula
noninvasive ventilation
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥18 y, * Willing and able to provide written informed consent prior to performing study procedures, * currently hospitalized and requiring medical care for non-sever blunt chest trauma (abbreviated injury severity scale ≤ 2) SpO2 90% or less while breathing 10 L/min.
Exclusion criteria
* Contraindications of noninvasive ventilation (face trauma or surgery, airway obstruction, upper gastrointestinal tract bleeding, disturbed level of consciousness), -smoker * intubation for any cause other than respiratory cause
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PaO2/FiO2 ratio | 3 successive days | mean value of three successive PaO2/FiO2 ratio in mmHg between both groups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Discomfort score | 3 successive days | Discomfort related to oxygen delivery devices will be evaluated using a 10- point numeric scale which low number is low discomfort. |
Countries
Egypt