Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Monitoring oxygen levels during intubation in critically ill patients

Official title: Feasibility of End-tidal Oxygen Concentration Monitoring During Preoxygenation for Intubation in the Intensive Care Unit. First Part, Preliminary Study of the IMPROVE Global Project

Run by Centre Hospitalier Régional d'Orléans · NCT05409573 · Data updated 2026-11-12

This study is testing if monitoring oxygen levels in two places during intubation can help critically ill patients in the ICU get better preoxygenation than the usual methods.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment30 (estimated)
SponsorCentre Hospitalier Régional d'Orléans
Academic / other
Locations1 site (Orléans)
StatusRecruiting
StartedDecember 23, 2022
Main results expectedDecember 2027
Study endsDecember 2027
Registry record updatedJanuary 29, 2026
Trial IDNCT05409573 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older who require intubation in the ICU due to acute respiratory failure.

Probably not a fit

Patients requiring intubation for cardiac arrest or those who cannot undergo EtO2 monitoring will 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 investigates the feasibility of monitoring end-tidal oxygen concentration (EtO2) during preoxygenation for intubation in critically ill patients in the intensive care unit (ICU). It involves a prospective non-comparative interventional approach where EtO2 will be measured both in the pharynx and on the facemask during the intubation procedure. The goal is to determine if this dual monitoring can provide a more accurate assessment of preoxygenation compared to traditional methods. The study will last no longer than one hour, including device setup.

Why it matters

Potential benefit: If successful, this approach could lead to improved safety and outcomes during intubation in critically ill patients by ensuring adequate preoxygenation.

How similar studies have gone: While monitoring EtO2 is standard in operating rooms, this specific application in the ICU setting is novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥ 18 years
* Requiring an intubation in ICU for acute respiratory failure defined as a respiratory rate ≥ 25/min or clinical signs of respiratory distress or hypoxemia defined as oxygen requirement ≥ 15L/min or FiO2 ≥80% to maintain SpO2 ≥92% or a PaO2/FiO2 ratio \<100 mmHg
* With preoxygenation by noninvasive ventilation

Exclusion Criteria:

* Intubation for cardiac arrest
* EtO2 monitoring not available
* Pulsed oxygen saturation monitoring specific for the study not available
* Preoxygenation by high-flow nasal oxygen therapy or bag-mask ventilation
* Allergy to lidocaine (for local nasal anesthesia)
* Previously
* Patient not affiliated or excluded from social protection, or under law protection (namely minors, pregnant or breastfeeding women, persons deprived of their liberty by court or administrative decision)
* Previously included in the study

Where it's running

  • CHR d'ORLEANS
    Orléans, France
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.