HFNC Compared With Facial Mask in Patients With Chest Trauma Patients
Chest Trauma, Hypoxia
About this trial
This is an interventional treatment trial for Chest Trauma
Eligibility Criteria
Inclusion Criteria: Patients who have the following condition within 72 hours of chest trauma despite receiving standard nasal cannula oxygen therapy [≥10 L/min], are eligible for inclusion. severe hypoxemic respiratory failure [Arterial partial pressure of oxygen (PaO2)/fraction of inspired oxygen fraction(FiO2) <300 mmHg] with a respiratory rate >25 breaths/minute and difficulty breathing, or respiratory distress PaCO2 of 45 mmHg or higher (if the patient requires emergency surgery with endotracheal intubation and mechanical ventilation, the time of inclusion will be the start of the post-extubation period. (Note: For patients who receive emergency trauma surgery with endotracheal intubation and mechanical ventilation, the time of inclusion assessment will be 72 hours after extubation.) Exclusion Criteria: Patients with a Glasgow Coma Scale less than 8 or severe brain injury. Patients with any contraindications to non-invasive ventilation, including acute gastrointestinal bleeding, upper airway obstruction, or hemodynamic instability. Facial trauma involving skull base fractures, facial bone fractures, or orbital floor fractures. Severe injuries involving the nasal sinuses. Patients with cervical spine injuries. Patients with increased intracranial pressure. Patients with facial, nasal, or airway structural abnormalities or surgery that prevents the use of appropriate nasal cannula. Patients after upper airway surgery. Patients who are unable to clearly express their willingness to sign informed consent.
Sites / Locations
- Department of Traumatology, National Taiwain University HospitalRecruiting
- NTUH Hsin-Chu Branch; NTUH Yun-Lin BranchRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
high flow nasal cannula group
Oxygen Mask group
All patients will have FiO2 started at 0.4 and titrated to maintain oxygen saturation (SpO2) ≥ 95%. The flow rate will be set at titrated from 60 L/min.
All patients will have FiO2 started at 0.4 and titrated to maintain oxygen saturation (SpO2) ≥ 95%.