Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Comparing oxygen and CPAP for treating swimming induced pulmonary edema

Official title: Evaluation of Continous Positive Airway Pressure (CPAP) in Swimming Induced Pulmonary Edema (SIPE) -a Randomized Single-blinded Controlled Study

Run by Dalarna County Council, Sweden · NCT04307615 · Data updated 2026-11-12

This study tests whether using CPAP along with oxygen helps swimmers with swimming induced pulmonary edema feel better than just using oxygen alone.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment90 (estimated)
SponsorDalarna County Council, Sweden
Academic / other
Locations1 site (Falun)
StatusRecruiting
StartedJuly 2, 2022
Main results expectedJuly 15, 2027
Study endsJuly 15, 2027
Registry record updatedOctober 5, 2026
Trial IDNCT04307615 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older who are clinically diagnosed with SIPE and require acute treatment.

Probably not a fit

Patients with suspected acute coronary syndrome, severe asthma requiring beta-agonist treatment, or those who are hemodynamically unstable or have decreased consciousness may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the effectiveness of continuous positive airway pressure (CPAP) compared to oxygen alone as a first-line treatment for swimming induced pulmonary edema (SIPE) in an out-of-hospital setting. It involves a large cohort of approximately 12,000 swimmers during Sweden's Vansbrosimningen event, where participants diagnosed with SIPE will receive either oxygen or oxygen with CPAP for 20 minutes. The primary outcome measure is the improvement in oxygen saturation assessed 10 minutes post-treatment. The goal is to provide effective treatment on-site, potentially reducing the need for emergency care.

Why it matters

Potential benefit: If successful, this study could provide a more effective treatment option for swimmers experiencing SIPE, improving patient outcomes and reducing emergency interventions.

How similar studies have gone: While there is limited evidence on optimal treatment strategies for SIPE, this approach of comparing oxygen and CPAP is novel and has not been extensively tested in prior studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* clinical diagnosis of swimming induced pulmonary edema (SIPE) with need of acute treatment (oxygen saturation ≤91%)
* 18 years and older
* informed consent

Exclusion Criteria:

* declined consent
* suspected acute coronary syndrome
* severe asthma diagnosed together with pulmonary edema where beta-agonist-inhalation is needed prior to treatment of pulmonary edema
* hemodynamic instability or decreased consciousness

Where it's running

  • Center of Clinical Research Dalarna
    Falun, Sweden
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.