Comparison of High Flow Oxygenation Therapy and CPAP in Children With Bronchiolitis.
Bronchiolitis in infants and young children often requires respiraty support. In Denmark Continous Positive Airway Pressure ( CPAP) are routinely used in children with moderate-severe bronchiolitis. The aim of the study is to compare CPAP and High Flow Oxygenation Therapy (HFOT) as tools of respiratory support in infants and young children with bronchiolitis.
Infants and young children with moderate-severe bronchiolitis and are randomized to either CPAP or HFOT.
|Respiratory Syncytial Virus Bronchiolitis||Device: Optiflow Junior Device: Continous Positive Airway Pressure||Phase 4|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Comparison of High Flow Oxygenation Therapy and CPAP in Children With Bronchiolitis.|
- change in respiration rate ( RR) from preintervention value [ Time Frame: after 6 12 18 24 and 48 hour of intervention ]
- Change in PCo2 (partial pressure of carbon dioxide)from pre intervention value [ Time Frame: after 6 12 24 and 48 hours of intervention ]
- Modified asthma score [ Time Frame: Once daily as long as intervention precedes ( 1-14 days) ]
- duration of need of intervention ( hours) [ Time Frame: from beginning of intervention to discontinuation (1-14 days) ]
- duration of hospitalisation ( days) [ Time Frame: from hospitalization to release (1-21 days) ]
- Intervention failure. [ Time Frame: from beginning of intervention to discontinuation.(1-14 days) ]numbers of intervention failure defined as change of intervention or progression to need for intensive care/ mechanical ventilation.
- patient acceptance of intervention [ Time Frame: daily VAS score (0-5) from beginning of intervention to discontinuation (1-14 days) ]VAS score of tolerance with intervention. 0 = worst possible acceptance 5 = fully acceptance
|Study Start Date:||December 2015|
|Estimated Study Completion Date:||June 2018|
|Estimated Primary Completion Date:||June 2018 (Final data collection date for primary outcome measure)|
Active Comparator: Continous Positive Airway Pressure
CPAP is administered through a binasal tube fitted with a Benveniste gas jet administered with humified airflow. Start flow is 12-14 l/min and can be changed to maximum 15 or minimum 12 l/min. Oxygen can be supplied as needed to keep SpO2 (peripheral capillary Oxygen saturation) within acceptable limits.
Device: Continous Positive Airway Pressure
Humified air are dispensed throug the system. Airflow, FiO2, SpO2 and respiratory rate are noted each hour. Progression of condition might lead to change of system or mechanical ventilation. Poor tolerance might lead to change of system.
Other Name: CPAP
Active Comparator: High Flow Oxygenation Therapy
HFOT is administered by optiflow Junior ( Fisher&Paykal Healthcare® Auckland, New Zealand) Start flow 12-14 l/min. Oxygen can be supplied as needed to keep Sp02 within acceptable limits
Device: Optiflow Junior
Humified air are dispensed through the system. Airflow, FiO2 (Fraction of inspired oxygen) , SpO2 (peripheral capillary Oxygen saturation) and respiratory rate are noted each hour. Progression of condition might lead to change of system og mechanical ventilation. poor tolerance might lead to change of system
Please refer to this study by its ClinicalTrials.gov identifier: NCT02618213
|Contact: Signe Vahlkvist, MD PhD||+4522334666||Signevv@gmail.com|
|Kolding, Denmark, 6000|
|Contact: Signe Vahlkvist, MD Ph.D +4522334666 Signevv@gmail.com|
|Principal Investigator:||Signe VAhlkvist, MD PhD||Pediatric Award, Hospital of South West Denmark|