High-Flow Oxygen Therapy Following Tracheostomy
| Status: | Recruiting |
|---|---|
| Conditions: | Hospital, Pulmonary |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 10/28/2018 |
| Start Date: | May 17, 2018 |
| End Date: | July 15, 2019 |
| Contact: | Peggy Reed-Watts, MS |
| Email: | peggy.watts@bjc.org |
| Phone: | 3143623767 |
Low-Flow (LF) Oxygen Versus Heated Humidified High-Flow (HF) Therapy Following Tracheostomy
Respiratory failure patients sometimes receive tracheostomy due to difficulty weaning from
mechanical ventilation. Efforts to wean patients with a tracheostomy usually involve the
administration of oxygen via High Humidity device. There are two major ways of administering
oxygen to patients which include low flow delivered at less than 10Liters per minute (LPM)
and high-flow delivered at greater than 10LPM. There is not a currently accepted standard of
care practice for how to administer oxygen therapy to these patients. Both Low and High Flow
are accepted practices in the US.
mechanical ventilation. Efforts to wean patients with a tracheostomy usually involve the
administration of oxygen via High Humidity device. There are two major ways of administering
oxygen to patients which include low flow delivered at less than 10Liters per minute (LPM)
and high-flow delivered at greater than 10LPM. There is not a currently accepted standard of
care practice for how to administer oxygen therapy to these patients. Both Low and High Flow
are accepted practices in the US.
Many patients with Respiratory Failure undergo tracheostomy due to difficulty weaning from
mechanical ventilation. A component of weaning a patient with tracheostomy usually involves
the administration of oxygen via High Humidity device. There are two major ways of
administering oxygen via High Humidity to patients. They include low flow high humidity;
delivered at less than or equal to 10LPM or high-flow humidity, delivered at greater than
10LPM. There is not a currently accepted standard of practice for how to administer oxygen
high humidity to patients who receive a tracheostomy due to respiratory failure. Both Low and
High Flow high humidity devices are used routinely by health care facilities nationwide.
Therefore, the investigators plan to perform a crossover study in both a medicine and
surgical Intensive Care Unit to determine which type of oxygen High Humidity therapy should
be preferentially utilized. Patients in one Intensive Care Unit will start off with Low Flow
high humidity while the alternate unit will start with Hi Flow high humidity. After one half
of the required sample size is accrued the investigators will cross over the two ICUs to the
alternate type of oxygen High Humidity device. No other respiratory practices will change
during the conduct of this trial.
mechanical ventilation. A component of weaning a patient with tracheostomy usually involves
the administration of oxygen via High Humidity device. There are two major ways of
administering oxygen via High Humidity to patients. They include low flow high humidity;
delivered at less than or equal to 10LPM or high-flow humidity, delivered at greater than
10LPM. There is not a currently accepted standard of practice for how to administer oxygen
high humidity to patients who receive a tracheostomy due to respiratory failure. Both Low and
High Flow high humidity devices are used routinely by health care facilities nationwide.
Therefore, the investigators plan to perform a crossover study in both a medicine and
surgical Intensive Care Unit to determine which type of oxygen High Humidity therapy should
be preferentially utilized. Patients in one Intensive Care Unit will start off with Low Flow
high humidity while the alternate unit will start with Hi Flow high humidity. After one half
of the required sample size is accrued the investigators will cross over the two ICUs to the
alternate type of oxygen High Humidity device. No other respiratory practices will change
during the conduct of this trial.
Inclusion Criteria:
- Mechanically ventilated patients who receive tracheostomy
Exclusion Criteria:
- Non-English speaking and pregnancy
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