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CompletedNCT03093662Updated Feb 12, 2021Results posted

Preoxygenation With Nasal Cannula and Noninvasive Positive Pressure Ventilation

An interventional study of Ventilation with nasal cannula and Ventilation without nasal cannula in Hypoxia, sponsored by Brooke Army Medical Center. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-02-12.

Sponsored by Brooke Army Medical Center · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
37
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a prospective randomized cross over study of healthy volunteers comparing end-tidal oxygen concentration among subjects undergoing continuous positive airway pressure ventilation via a noninvasive ventilation (NIV) mask with and without the addition of nasal cannulas.

Read the detailed description

Noninvasive positive pressure ventilation with the addition of a nasal cannula is a useful technique to pre-oxygenate and provide apneic oxygenation in hypoxic patients undergoing emergency airway management. This study aims to evaluate preoxygenation by quantifying end-tidal oxygen (etO2) concentration resulting from nasal cannula placement underneath a noninvasive positive pressure ventilation (NIPPV) mask. This is a prospective randomized cross over study of healthy volunteers undergoing continuous positive airway pressure ventilation via a noninvasive ventilation (NIV) mask with and without the addition of nasal cannulas. End-tidal oxygen concentration will be measured by an oxygen sensor following three minutes of NIPPV with and without the addition of a nasal cannula, with each subject serving as his or her own control.

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Conditions studied

  • Hypoxia

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03

In context

Hypoxia

1,231 studies on the registry are indexed under Hypoxia; 241 are open to participants now.

This study's enrollment of 37 is below the median of 45 across 853 interventional studies indexed under Hypoxia.

Browse Hypoxia studies →

Lead sponsor

Brooke Army Medical Center is the lead sponsor of 92 studies on the registry; 11 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 2 (25%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Any healthy volunteer aged 18-65 years.

Exclusion criteria

Exclusion Criteria:

  • Previous inability to tolerate noninvasive positive pressure ventilation with addition of a nasal cannula.
  • Known underlying cardiac or pulmonary disease.
  • Active respiratory infections.
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Outcomes assessor)
Enrollment
37 participants (actual)

Study arms

  • Experimental
    Ventilation with nasal cannula

    Non-invasive positive pressure ventilation with nasal cannula.

    Device: Ventilation with nasal cannula · Device: Ventilation without nasal cannula

  • Active comparator
    Ventilation without nasal cannula

    Non-invasive positive pressure ventilation without nasal cannula.

    Device: Ventilation with nasal cannula · Device: Ventilation without nasal cannula

Interventions

  • DeviceVentilation with nasal cannula

    Subject is fitted with a face mask and undergoes three continuous minutes of positive pressure ventilation (Respironics AF521, EE with CapStrap headgear) while simultaneously wearing nasal cannula (Carefusion AirLife Standard Nasal Cannula) with 15 L/min oxygen flow. Subject then removes mask and immediately exhales into an oxygen sensor (Maxtec Max-250E).

  • DeviceVentilation without nasal cannula

    Subject is fitted with a face mask and undergoes three continuous minutes of positive pressure ventilation (Respironics AF521, EE with CapStrap headgear). Subject then removes mask and immediately exhales into an oxygen sensor (Maxtec Max-250E).

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What researchers measure

Primary outcomes

  1. End-tidal Oxygen

    Measured by exhalation into sensor (Maxtec Max-250E)

    Time frame: 3 minutes after study start

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Results

Posted Dec 28, 2020

Participant flow

First Intervention (3 Minutes)
Participant flow — First Intervention (3 Minutes)
MilestoneVentilation With Nasal Cannula First, Then Without Nasal CannulaVentilation Without Nasal Cannula First, Then With Nasal Cannula
Started1819
Completed1819
Not completed00
Washout Period (5 Minutes)
Participant flow — Washout Period (5 Minutes)
MilestoneVentilation With Nasal Cannula First, Then Without Nasal CannulaVentilation Without Nasal Cannula First, Then With Nasal Cannula
Started1819
Completed1819
Not completed00
Second Intervention (3 Minutes)
Participant flow — Second Intervention (3 Minutes)
MilestoneVentilation With Nasal Cannula First, Then Without Nasal CannulaVentilation Without Nasal Cannula First, Then With Nasal Cannula
Started1819
Completed1819
Not completed00

Outcome measures

PrimaryEnd-tidal Oxygen

Measured by exhalation into sensor (Maxtec Max-250E)

Time frame:
3 minutes after study start
Reported as:
Mean · End tidal oxygen saturation percentage
End-tidal Oxygen
End tidal oxygen saturation percentageVentilation With Nasal CannulaVentilation Without Nasal Cannula
End-tidal Oxygen78.1 (75.5 to 80.8)78.6 (75.6 to 81.4)

Adverse events

Collected over Study duration (approximately 30 minutes).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Ventilation With Nasal Cannula0/37 (0%)0/37 (0%)0/37 (0%)
Ventilation Without Nasal Cannula0/37 (0%)0/37 (0%)0/37 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Ventilation With Nasal Cannula FirstVentilation Without Nasal Cannula FirstTotal
<=18 years000
Between 18 and 65 years181937
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Ventilation With Nasal Cannula FirstVentilation Without Nasal Cannula FirstTotal
Female5611
Male131326
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Ventilation With Nasal Cannula FirstVentilation Without Nasal Cannula FirstTotal
Count of participants——0
Region of Enrollment
Region of Enrollment(participants)Ventilation With Nasal Cannula FirstVentilation Without Nasal Cannula FirstTotal
United States181937
08

Study locations

1 site
  • Brooke Army Medical Center
    Fort Sam Houston, Texas 78234, United States
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References and documents

Publications

  • Baillard C, Fosse JP, Sebbane M, Chanques G, Vincent F, Courouble P, Cohen Y, Eledjam JJ, Adnet F, Jaber S. Noninvasive ventilation improves preoxygenation before intubation of hypoxic patients. Am J Respir Crit Care Med. 2006 Jul 15;174(2):171-7. doi: 10.1164/rccm.200509-1507OC. Epub 2006 Apr 20. PubMed 16627862 ↗
  • Sakles JC, Mosier JM, Patanwala AE, Arcaris B, Dicken JM. First Pass Success Without Hypoxemia Is Increased With the Use of Apneic Oxygenation During Rapid Sequence Intubation in the Emergency Department. Acad Emerg Med. 2016 Jun;23(6):703-10. doi: 10.1111/acem.12931. Epub 2016 May 13. PubMed 26836712 ↗
  • Bodily JB, Webb HR, Weiss SJ, Braude DA. Incidence and Duration of Continuously Measured Oxygen Desaturation During Emergency Department Intubation. Ann Emerg Med. 2016 Mar;67(3):389-95. doi: 10.1016/j.annemergmed.2015.06.006. Epub 2015 Jul 9. PubMed 26164643 ↗
  • Hayes-Bradley C, Lewis A, Burns B, Miller M. Efficacy of Nasal Cannula Oxygen as a Preoxygenation Adjunct in Emergency Airway Management. Ann Emerg Med. 2016 Aug;68(2):174-80. doi: 10.1016/j.annemergmed.2015.11.012. Epub 2015 Dec 31. PubMed 26747218 ↗

Study documents

  • Protocol and statistical analysis plan · Jan 17, 2017

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 12, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03093662
Lead sponsor
Brooke Army Medical Center
Responsible party
Michael D. April (Assistant Program Director for Research, Emergency Medicine, Brooke Army Medical Center) — Principal investigator
First posted
Mar 28, 2017
Start date
Mar 2, 2017
Primary completion
Mar 9, 2017
Completion
Mar 9, 2017
Results posted
Dec 28, 2020
Last update
Feb 12, 2021

Study contacts

Derek J Brown, MD
principal investigator · United States Army Institute of Surgical Research

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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