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Enhancing Utilization of Non-Invasive Positive Pressure Ventilation in Critical Care

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ClinicalTrials.gov Identifier: NCT00458926
Recruitment Status : Completed
First Posted : April 11, 2007
Last Update Posted : February 3, 2023
Information provided by (Responsible Party):
Tufts Medical Center

Brief Summary:
Non-invasive positive pressure ventilation (NIV) refers to the provision of mechanical ventilation without an artificial airway (for example, an endotracheal tube). Over the past decade, evidence from randomized control trials has accumulated to demonstrate effectiveness of the technique in avoiding intubation, reducing complications associated with intubation, shortening ICU and hospital lengths of stay, and reducing mortality rates in selected patients with acute respiratory failure. However, NIV is still underutilized at many medical centers. The purposes of this project will be to acquire information related to NIV use, to identify reasons for underutilization, to implement interventions that encourage more appropriate use of NIV, and to evaluate the effectiveness of the interventions. Reliable information on NIV use as well as analysis of reasons for underutilization will provide insight into ways of enhancing NIV use. We will determine utilization rate, technology used, patient diagnoses, duration of ventilator use and hospital stay, and success rates as recorded on case report forms (CRFs). After completing the survey, we will provide an educational program to randomly selected institutions (one-half of the total) aimed at increasing the knowledge and skill of physicians, nurses, and therapists regarding use and implementation of NIV. Data will be gathered for a second round with the same data-gathering instruments used during

Condition or disease
COPD Congestive Heart Failure Asthma Respiratory Distress Syndrome, Adult Pneumonia

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Study Type : Observational
Estimated Enrollment : 800 participants
Observational Model: Case-Control
Time Perspective: Prospective
Official Title: Enhancing Utilization of Non-Invasive Positive Pressure Ventilation in Critical Care
Actual Study Start Date : November 2003
Actual Primary Completion Date : December 2009
Actual Study Completion Date : December 2009

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients 18 years of age or older who require mechanical ventilation.

Inclusion Criteria:

  • Starting on mechanical ventilation (including: invasive, noninvasive, CPAP or BiPAP for purpose of treatment of respiratory failure)
  • 18 years of age or older

Exclusion Criteria:

  • Use of home mechanical ventilation, including nocturnal ventilation, continuous mechanical ventilation,BiPAP.
  • Continuous use of CPAP or BiPAP for treatment of obstructive sleep apnea.
  • Placed on mechanical ventilation for purposes of surgical anesthesia or use of anesthesia for a diagnostic procedure.
  • Patient has tracheostomy or was intubated endotracheally prior to admission.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00458926

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United States, Massachusetts
Tufts Medical Center
Boston, Massachusetts, United States, 02111
Sponsors and Collaborators
Tufts Medical Center
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Principal Investigator: Nicholas S. Hill, MD Tufts Medical Center
Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Tufts Medical Center
ClinicalTrials.gov Identifier: NCT00458926    
Other Study ID Numbers: 6742
First Posted: April 11, 2007    Key Record Dates
Last Update Posted: February 3, 2023
Last Verified: February 2023
Keywords provided by Tufts Medical Center:
ventilation, mechanical
intubation, endotracheal
respiratory insufficiency
Additional relevant MeSH terms:
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Respiratory Distress Syndrome
Respiratory Distress Syndrome, Newborn
Acute Lung Injury
Heart Failure
Heart Diseases
Cardiovascular Diseases
Lung Diseases
Respiratory Tract Diseases
Respiration Disorders
Infant, Premature, Diseases
Infant, Newborn, Diseases
Lung Injury