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Comparison of Physiological Effects of Two Types of High-Flow Oxygen Therapy in Tracheostomized Patients

NCT06816745 · tracked via the Priya Life Science China tracker
Phase
Not applicable
Started
2025-02-20
Last updated
2025-02-10

Condition(s) studied

Critical CareOxygen TherapyTracheostomy

Investigational drug(s) / intervention(s)

Modified high flow tracheal oxygenStandard high flow tracheal oxygen

Modified high flow tracheal oxygen: Modified high-flow tracheal oxygen with flow rates of 40L/min and 60L/min will be performed.

Standard high flow tracheal oxygen: Standard high-flow tracheal oxygen with flow rates of 40 L/min and 60 L/min will be performed.

Study summary

High-flow nasal oxygen therapy offers benefits like precise oxygen delivery, flow-related positive end-expiratory pressure generation and improved lung function. High-flow oxygen therapy can be applied via tracheostomy as high-flow tracheal oxygen. While high-flow tracheal oxygen has been used to facilitate weaning, it has diminished physiological effects due to bypassing upper airways. To enhance its effectiveness, researchers developed a modified high-flow tracheal oxygen tube with a smaller expiratory end diameter to increase airway resistance and pressure. This is a prospective randomized crossover study that aims to compare the physiological effects of standard and modified high-flow oxygen therapy in tracheostomized patients.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: Tracheostomy with stable spontaneous breathing. Exclusion Criteria: 1. Age younger than 18 years old 2. Pregnancy 3. Hemodynamic instability (mean arterial pressure \<60 mmHg, heart rate \>140 or \<60 bpm) 4. Respiratory and oxygenation instability (respiratory rate \> 35bpm or oxygen saturation measured by pulse oximetry \<90%) 5. Neuromuscular diseases or phrenic nerve injury 6. Recent trauma or surgery to the trachea, esophagus, neck, chest, or stomach 7. Pneumothorax or placement of a chest drainage 8. Contraindication to electrical impedance tomography (EIT) (implantable defibrillator) 9. Anticipating withdrawal of life support

Primary outcome measure(s)

  • Mean expiratory airway pressure — From enrollment to the end of treatment at 4 hours
    Mean expiratory airway pressure will be measured during standard and modified high-flow tracheal oxygen.
  • Positive end-expiratory pressure — From enrollment to the end of treatment at 4 hours
    Positive end-expiratory pressure will be measured during standard and modified high-flow tracheal oxygen.
  • Change of end-expiatory lung volume — From enrollment to the end of treatment at 4 hours
    Change of end-expiatory lung volume will be measured during standard and modified high-flow tracheal oxygen.

Trial sites (1)

FacilityCityRegionStatus
Beijing Shijitan Hospital Beijing Beijing Municipality
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06816745 on ClinicalTrials.gov ↗ ← All trials in China