Recruiting NA Acute Respiratory Failure (ARF)

Compares treatment options for Acute Respiratory Failure (ARF)

Official title Effect of High Flow Nasal Therapy (HFNC) Weaning Protocols vs Standard of Care on Respiratory Outcomes in Patients With Acute Respiratory Failure

ClinicalTrials.gov ID: NCT07638293

What this study is testing

What it's testing
High-flow nasal cannula (HFNC) is a widely used noninvasive respiratory support technique for patients with acute respiratory failure (ARF). It provides heated and humidified oxygen at high flow rates, improving oxygenation, reducing respiratory effort, and enhancing patient comfort.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Age ≥18 years
  • Presence of acute respiratory failure (ARF)
  • Receiving HFNC treatment for ≥24 hours

You likely can't join if

  • Post-extubation HFNC use or tracheostomized patients
  • Respiratory acidosis (pH \ 50 mmHg with worsening from baseline)
  • Long-term home NIV or home CPAP use
  • Do-not-intubate (DNI) orders precluding escalation to invasive mechanical ventilation
  • Life expectancy ≤48-72 hours due to terminal non-respiratory disease
  • Neurological impairment or deep sedation preventing safe HFNC use (e.g. coma or severe uncontrolled delirium)
See the full eligibility criteria
Who can join
  • Age ≥18 years
  • Presence of acute respiratory failure (ARF)
  • Receiving HFNC treatment for ≥24 hours
What rules you out
  • Post-extubation HFNC use or tracheostomized patients
  • Respiratory acidosis (pH \ 50 mmHg with worsening from baseline)
  • Long-term home NIV or home CPAP use
  • Do-not-intubate (DNI) orders precluding escalation to invasive mechanical ventilation
  • Life expectancy ≤48-72 hours due to terminal non-respiratory disease
  • Neurological impairment or deep sedation preventing safe HFNC use (e.g. coma or severe uncontrolled delirium)
  • Technical contraindications to HFNC (i.e. facial trauma, maxillofacial surgery, severe nasal obstruction)
  • Refusal to participate or inability to provide informed consent

The study team makes the final eligibility decision.

Where it's taking place

  • Milan, Lombardy, Italy
  • Catania, Sicily, Italy

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Milan, Lombardy, Italy; Catania, Sicily, Italy. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.