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High Velocity Nasal Insufflation Versus Continuous Positive Airway Pressure in COVID 19 Pneumonic Patients

M

Mansoura University

Status

Completed

Conditions

COVID-19 Pneumonia

Treatments

Device: High Velocity Nasal Insufflation
Device: Continuous Positive Airway Pressure

Study type

Interventional

Funder types

Other

Identifiers

NCT07213518
MS.21.08.1614

Details and patient eligibility

About

compare the efficacy of High-Velocity Nasal Insufflation (HVNI) versus Continuous Positive Airway Pressure (CPAP) in managing COVID 19 pneumonic patients with acute type 1 respiratory failure

Full description

A prospective randomized controlled trial was conducted on 108 patients with COVID 19 pneumonia with acute hypoxemic respiratory failure at Mansoura University Hospitals to compare the efficacy of High-Velocity Nasal Insufflation (HVNI) versus Continuous Positive Airway Pressure (CPAP) in managing COVID 19 pneumonic patients with acute type 1 respiratory failure, focusing on the need for invasive mechanical ventilation (IMV) and 28-day mortality. Patients were randomized into two equal groups: HVNI group and CPAP group. Baseline characteristics, respiratory parameters, and clinical outcomes were recorded.

Enrollment

108 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients aged above 18 years with COVID 19 pneumonia with acute type 1 respiratory failure were included.

Exclusion criteria

  • patients with hypercapnic respiratory failure.
  • patients with a disturbed level of consciousness and/or a high risk of aspiration
  • individuals with hypotension
  • patients requiring invasive mechanical ventilation.

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

108 participants in 2 patient groups

Continuous Positive Airway Pressure
Active Comparator group
Description:
COVID 19 Pneumonic Patients with Acute Type 1 Respiratory Failure received Continuous Positive Airway Pressure
Treatment:
Device: Continuous Positive Airway Pressure
High Velocity Nasal Insufflation
Active Comparator group
Description:
COVID 19 Pneumonic Patients with Acute Type 1 Respiratory Failure received High Velocity Nasal Insufflation
Treatment:
Device: High Velocity Nasal Insufflation

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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