Comparing High-flow Nasal Cannula Oxygen and Noninvasive Ventilation to Standard Oxygenation in Non-selected ICU Patients Admitted for Hypoxemic ARF

NARecruitingINTERVENTIONAL
Enrollment

2,100

Participants

Timeline

Start Date

May 23, 2023

Primary Completion Date

May 23, 2026

Study Completion Date

August 23, 2026

Conditions
Acute Respiratory Failure
Interventions
PROCEDURE

Standard oxygen

"Standard oxygen therapy administered through a Venturi mask allowing a fraction of inspired oxygen (FiO2) setting to maintain a peripheral oxygen saturation (SpO2) ≥ 94%.~For medical reasons left to the clinician appreciation (such as a COPD or pulmonary fibrosis or other conditions), a SpO2 ≥ 90% will be accepted."

PROCEDURE

HFNO

"The oxygen therapy will be administered in a semi-sitting position, with a setting of the FiO2 and the oxygen flow rate, to obtain a SpO2 ≥ 94%.~For medical reasons left to the clinician appreciation (such as a COPD or pulmonary fibrosis or other conditions), a SpO2 ≥ 90% will be accepted."

PROCEDURE

NIV

"Systematic application of NIV using two levels of pressure, pressure support (PS) + positive end-expiratory pressure (PEEP) provided using a dedicated NIV ventilator or a standard ICU ventilator with the NIV module through a facial mask. The FiO2 will be set to obtain a SpO2 ≥ 94%.~For medical reasons left to the clinician appreciation (such as a COPD or pulmonary fibrosis or other conditions), a SpO2 ≥ 90% will be accepted."

Trial Locations (1)

34295

RECRUITING

Montpellier University Hospital - Saint Eloi Hospital, Montpellier

All Listed Sponsors
lead

University Hospital, Montpellier

OTHER