Bilevel positive airway pressure (BPAP) for children with moderate to severe asthma attacks

Understanding the role of bilevel positive airway pressure (BPAP) in pediatric acute asthma exacerbations: A prospective, randomized, double blind, controlled trial.

NIH-funded research University of Colorado Denver · NIH-11193883

This project checks whether starting BPAP early helps children with moderate to severe asthma attacks in the emergency room breathe easier and need less continuous inhaled medicine.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionUniversity of Colorado Denver NIH-funded
Lab location1 site (Aurora, UNITED STATES)
Project IDNIH-11193883 on NIH RePORTER

What this research studies

If a child comes to the pediatric emergency department with a moderate to severe asthma attack that does not improve after first-line treatment, they may be randomly assigned to receive early BPAP or a control intervention under double-blind conditions. Neither families nor clinicians will know which treatment was given during the acute phase. The team will track breathing status, use of continuous beta-agonist therapy, need for hospital admission, and any side effects. The trial looks at safety and whether BPAP helps open airways, clear mucus, and shorten the time children need intensive inhaled medicines.

Who could benefit from this research

Good fit: Children who present to a pediatric emergency department with moderate to severe asthma exacerbations that do not improve after first-line therapy are the intended candidates.

Not a fit: Children with mild asthma that responds to first-line treatment or those with contraindications to non-invasive ventilation (for example facial trauma or inability to protect the airway) are unlikely to benefit from this approach.

Why it matters

Potential benefit: If successful, early BPAP could help children recover faster from severe asthma attacks, reduce the need for continuous bronchodilator therapy, and lower hospital admissions.

How similar studies have performed: Smaller studies and case reports in adults and limited pediatric series have suggested non-invasive ventilation can help bronchospasm, but high-quality randomized trials in children have been lacking.

Where this research is happening

Aurora, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.