RecruitingNot ApplicableNCT05918575

Postextubation Use of Noninvasive Respiratory Support in Severely Obese Patients

A Randomized Controlled Trial of Postextubation Use of Noninvasive Respiratory Support in Severely Obese Patients


Sponsor

Rush University Medical Center

Enrollment

250 participants

Start Date

Jul 10, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

Around 20% of the obese patients with higher body mass index (BMI) who are taken off the breathing tube and breathing machine (ventilator) end up needing it back to support breathing. The re-application of breathing tube is associated with poor outcomes, including high risk of pneumonia, longer hospital stays, and death. The purpose of this study is to assess if prophylactic use of noninvasive breathing support after removing the breathing tube lowers the chance of needing the breathing tube again.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This clinical trial is studying a medical device called High flow nasal cannula and a medical device called Noninvasive ventilation alternating with high flow nasal cannula for people with obesity, morbid and extubation failure. The study is currently recruiting participants at 5 locations. People eligible for this study include aged 18 Years and older.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DEVICENoninvasive ventilation alternating with high flow nasal cannula

A total of 24 hours of prophylactic respiratory support will be provided using NIV alternating with HFNC with total NIV usage of 16 hours and HFNC usage of 8 hours.

DEVICEHigh flow nasal cannula

A total of 24 hours of prophylactic respiratory support will be provided using HFNC alone.


Locations(5)

Rush University Medical Center

Chicago, Illinois, United States

Central DuPage Hospital

Winfield, Illinois, United States

McGovern Medical School, The University of Texas Health Science Center

Houston, Texas, United States

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Hospital Civil Fray Antonio Alcalde

Guadalajara, Jalisco, Mexico

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NCT05918575


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