Humidity Under Continuous Positive Airway Pressure
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Purpose
Heated humidification in CPAP therapy is often not enough to prevent side effects like dryness of nasal mucosa and xerostomia, especially in cases of mouth breathing or mask leakage. Additionally a higher level of humidification in lower ambient room temperature can lead to condensation and irritating noises. Compliance of affected patients decreases considerably. Regarding this, devices with humidifier and additional heated tubing are developed to automatically regulate optimal humidification and temperature right up to the mask. The efficacy of a system with controlled heated humidification and heated tubing in nasal masks under various conditions like leakage and different pressure levels is object of this study.
| Condition | Intervention |
|---|---|
|
Sleep Apnea, Obstructive |
Device: RESMed S9 with humidifier H5i and heated tube Climate Line Device: CPAP without humidification Device: CPAP with heated humidification |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Crossover Assignment Masking: Single Blind (Subject) Primary Purpose: Treatment |
| Official Title: | Luftfeuchtigkeit Unter CPAP Mit Temperatur- Und Feuchtigkeitskontrolle |
- Humidity differences [ Time Frame: 3 hours per patient ] [ Designated as safety issue: No ]Changes of humidity and temperature under different conditions (e.g. with and without humidifier, leakage, pressure changes) measured breath by breath with humditiy sensor inside of a nasal mask.
| Enrollment: | 19 |
| Study Start Date: | March 2011 |
| Study Completion Date: | January 2012 |
| Primary Completion Date: | January 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: heated humidification |
Device: CPAP with heated humidification
At stable ambient room temperature and different CPAP pressure levels, 8 and 12 cmH2O, with and without additional leakage, humidity and temperature is measured inside of a patients nasal mask. With controlled heated humidification and standard tubing.
Other Name: RESMed S9 with humidifier H5i
|
| Experimental: No Humidification |
Device: CPAP without humidification
At stable ambient room temperature and different CPAP pressure levels, 8 and 12 cmH2O, with and without additional leakage, humidity and temperature is measured inside of a patients nasal mask. Without any humidification.
Other Name: ResMed S9 without humidifier
|
| Experimental: Controlled heated Humidification with heated tube |
Device: RESMed S9 with humidifier H5i and heated tube Climate Line
At stable ambient room temperature and different CPAP pressure levels, 8 and 12 cmH2O, with and without additional leakage, humidity and temperature is measured inside of a patients nasal mask. Controlled heated humidification with heated tubing (Climate Line).
Other Name: RESMed S9 with humidifier H5i and heated tube Climate Line
|
Detailed Description:
Participants will breath 3 hours during daytime with a nasal mask under three different humidity modes (No humidity, controlled heated humidification, controlled heated humidification with heated tubing) with CPAP 8 and 12 mmHg and with and without leakage. The ambient room temperature is controlled with air conditioning. Changes in temperature and humidity is measured inside of the mask with a humidity sensor and recorded. After each phase the participants subjective opinion about humidity and temperature is asked.
Eligibility| Ages Eligible for Study: | 20 Years to 70 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age 20-70
- Obstructive Sleep Apnoea Syndrome
Exclusion Criteria:
- Other severe acute or chronic nasal disease (rhinitis, sinusitis), Cardiovascular disease, respiratory or neurologic disease
- Incapable of giving consent
Contacts and Locations| Germany | |
| Helios Klinik Hagen Ambrock | |
| Hagen, NRW, Germany, 58091 | |
| Principal Investigator: | Karl Heinz Ruehle, MD | Institut für Pneumologie Hagen Ambrock eV |
More Information
No publications provided
| Responsible Party: | Institut für Pneumologie Hagen Ambrock eV |
| ClinicalTrials.gov Identifier: | NCT01462409 History of Changes |
| Other Study ID Numbers: | Climateline2011 |
| Study First Received: | October 20, 2011 |
| Last Updated: | September 17, 2012 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Institut für Pneumologie Hagen Ambrock eV:
|
obstructive sleep apnea humidification mask heated tubing |
Additional relevant MeSH terms:
|
Apnea Sleep Apnea Syndromes Sleep Apnea, Obstructive Respiration Disorders Respiratory Tract Diseases Signs and Symptoms, Respiratory |
Signs and Symptoms Sleep Disorders, Intrinsic Dyssomnias Sleep Disorders Nervous System Diseases |
ClinicalTrials.gov processed this record on June 13, 2013