External Nasal Dilator and Oxygen Therapy in Respiratory Failure

NCT ID: NCT02662387

Last Updated: 2017-08-21

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-02

Study Completion Date

2016-06-15

Brief Summary

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Acute respiratory failure secondary to bronchiolitis and asthma is one of the most common diagnoses in children admitted to pediatric intensive care unit.

Objectives: The primary outcome of the study is to compare the respiratory parameters between patients on HFNC and HFNC with ENDs.

Methods: This is a prospective randomized controlled trial. All children admitted to Loma Linda University Children's Hospital due to acute respiratory failure secondary to bronchiolitis and asthma are eligible for inclusion in the study. Multiple respiratory parameters will be collected as part of the study. The investigators anticipate that use of END will have a positive impact on the respiratory status of children with acute respiratory failure. Appropriate statistical analysis of the data will occur after the data has been de-identified.

Detailed Description

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Acute respiratory failure secondary to bronchiolitis is one of the most common diagnoses in children admitted to pediatric intensive care unit.

Objectives: The primary outcome of the study is to compare the respiratory parameters between patients on high flow nasal cannula (HFNC) and HFNC with an external nasal dilator (END).

Methods: This is a prospective randomized controlled trial. All children admitted to Loma Linda University Children's Hospital between July 2015 and May 2017 for approximately 22 months due to acute respiratory failure secondary to bronchiolitis are eligible for inclusion in the study. Two arms will be studied, one with HFNC and the other with HFNC and ENDS. Modified Bronchiolitis Severity Score will be used to assess respiratory parameters as part of the study. The investigators anticipate that use of END will have a positive impact on the respiratory status of children with acute respiratory failure. Appropriate statistical analysis of the data will occur after the data has been de-identified.

Conditions

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Acute Respiratory Failure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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HFNC and external nasal dilator (END)

high flow nasal cannula and external nasal dilator

Group Type EXPERIMENTAL

External nasal dilator (END)

Intervention Type DEVICE

Applying External nasal dilator as adjuvant to high flow oxygen

High flow nasal cannula (HFNC)

Intervention Type OTHER

Non-invasive positive pressure ventilation

High flow nasal cannula (HFNC)

Non-invasive positive pressure ventilation

Group Type ACTIVE_COMPARATOR

High flow nasal cannula (HFNC)

Intervention Type OTHER

Non-invasive positive pressure ventilation

Interventions

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External nasal dilator (END)

Applying External nasal dilator as adjuvant to high flow oxygen

Intervention Type DEVICE

High flow nasal cannula (HFNC)

Non-invasive positive pressure ventilation

Intervention Type OTHER

Other Intervention Names

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nasal strip

Eligibility Criteria

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Inclusion Criteria

* children less than 18years
* acute respiratory failure

Exclusion Criteria

* immediate intubation
* \>18years
Minimum Eligible Age

1 Day

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Loma Linda University

OTHER

Sponsor Role lead

Responsible Party

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Janeth Chiaka Ejike, MD

Associate Professor, Pediatrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Janeth Ejike, MD

Role: STUDY_DIRECTOR

Loma Linda University Medical Center

Locations

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LLUCH

Loma Linda, California, United States

Site Status

Countries

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United States

Other Identifiers

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5150128

Identifier Type: -

Identifier Source: org_study_id

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