Examining the link between esophageal pressure and respiratory support failure in patients with acute respiratory failure
Official title: Correlation Between Trans Esophageal Pressure and Non-invasive Respiratory Support Failure in Patients With Acute Hypoxic Respiratory Failure
Run by University of Modena and Reggio Emilia · NCT03826797 · Data updated 2026-11-12
This study looks at how pressure in the esophagus relates to breathing support problems in patients with severe breathing issues, including those with COVID-19, to find better ways to help them.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 300 (estimated) |
| Sponsor | University of Modena and Reggio Emilia Academic / other |
| Locations | 1 site (Modena) |
| Status | Recruiting |
| Started | October 16, 2016 |
| Main results expected | February 28, 2024 |
| Study ends | December 31, 2027 |
| Registry record updated | March 23, 2023 |
| Trial ID | NCT03826797 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adults over 18 years old who are experiencing acute hypoxic respiratory failure.
✕Probably not a fit
Patients with acute pulmonary edema, chest wall deformities, an immediate need for mechanical ventilation, pregnancy, or hypercapnic respiratory failure 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 observational study investigates the relationship between trans esophageal pressure and respiratory mechanics, such as nasal pressure, in patients experiencing acute hypoxic respiratory failure. The focus is on understanding how these measurements correlate with the failure of non-invasive respiratory support methods. The study includes patients with various underlying causes of respiratory failure, including those affected by COVID-19. By analyzing these correlations, the research aims to improve patient management in acute respiratory conditions.
Why it matters
Potential benefit: If successful, this study could enhance the understanding of respiratory mechanics and improve the effectiveness of non-invasive ventilation strategies for patients with acute respiratory failure.
How similar studies have gone: While this study explores a specific correlation, similar studies have shown promise in understanding respiratory mechanics and improving non-invasive ventilation outcomes.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age \>18 years * Acute hypoxic respiratory failure (P/F \< 200) Exclusion Criteria: * Acute pulmonary edema * Chest wall deformities * Immediate need for Mechanical Ventilation * Pregnancy * Hypercapnic RF
Where it's running
-
University Hospital of Modena Policlinico
Modena, Italy Recruiting
Study contacts
- Study coordinator: Alessandro Marchioni, MD, PhD
- Email: marchioni.alessandro@unimore.it
- Phone: 00390594225859
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Sodium bicarbonate with bedside electrical impedance tomography to map lung blood flow in ventilated adults
This project will try whether a small sodium bicarbonate injection combined with bedside electrical impedance tomography can map lung blood flow in adults on mechanical ventilation, compared with hypertonic saline.
-
Feasibility of using a weight-adjusted saline bolus with electrical impedance tomography to map lung perfusion in children
This pediatric pilot tests whether a carefully dosed saline bolus with electrical impedance tomography can map lung perfusion and ventilation distribution in kids with acute respiratory failure.
-
Predicting HFNO failure within 72 hours using a physiology-informed model at 30 minutes
This study tests a model that uses Heart–lung physiology and 30-minute data to see if high-flow nasal oxygen will fail in adults with acute hypoxemic respiratory failure.
-
Bedside ultrasound of the IVC to find pulmonary edema in adults with sudden severe breathlessness
This project will test whether bedside ultrasound measurements of how the inferior vena cava changes with breathing can help identify pulmonary edema in adults who come to the emergency department with sudden breathing failure.
-
Brain–lung interaction during sudden severe low-oxygen respiratory failure
We will try EEG, NIRS, and neck muscle recordings before and one hour after starting high-flow nasal oxygen in adults with sudden low-oxygen respiratory failure to see how the brain and lungs interact.
-
Comparing SpO2 targets and oximeters during high-flow nasal oxygen
This study tests whether two different pulse oximeters (Nonin and Philips) and two SpO2 targets (90% vs 94%) change the amount of oxygen (FiO2) set for adults in the ICU receiving high-flow nasal oxygen.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.