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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Centre Hospitalier Régional d'Orléans Academic / other |
| Locations | 1 site (Orléans) |
| Status | Recruiting |
| Started | December 23, 2022 |
| Main results expected | December 2027 |
| Study ends | December 2027 |
| Registry record updated | January 29, 2026 |
| Trial ID | NCT05409573 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
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CHR d'ORLEANS
Orléans, France Recruiting
Study contacts
- Principal investigator: Mai-Anh NAY, PH — CHR d'Orléans
- Study coordinator: Mai-Anh NAY, PH
- Email: mai-anh.nay@chr-orleans.fr
- Phone: +33238575253
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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.