acute respiratory failure Dyspnea
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: * Acute respiratory failure requiring noninvasive ventilatory support in ICU. * COPD (past medical history) * Able to adequately oxygenate and ventilate without support for ± 5 minutes (necessary for changing the interface). * Age > 18 years * Mentally competent
Exclusion criteria
Exclusion criteria: * Severe hypoxemic failure (Pa,o2 0.5 ug/kg/min) * Contraindication for insertion of nasogastric tube (recent esophageal, facial or cranial trauma or surgery. espohageal varices, recent (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| * Patient - ventilator asynchrony index | — |
Secondary
| Measure | Time frame |
|---|---|
| * Dyspnea score (VAS) * Arterial carbondioxe and oxygen tension after each change in protocol (0, 30, 60, 90, 125, 155 and 185 minutes) * Oxygenation index * Airleak during NIV * Ventilator efficiency (airway pressure / diaphragm electrical activity) | — |
Countries
Netherlands