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Trial registered on ANZCTR
Registration number
ACTRN12612000895886
Ethics application status
Approved
Date submitted
21/08/2012
Date registered
22/08/2012
Date last updated
13/02/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Non invasive end tidal carbon dioxide monitoring study in patients presenting to the Emergency Department with an Acute Respiratory Illness: establishing whether there is a correlation between arterial blood gas and non-invasive monitored, carbon dioxide levels.
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Scientific title
To determine whether we can substitute the invasive arterial blood gas measurement of CO2 with a non-invasive oral nasal cannula in patients presenting to the Emergency Department with acute respiratory illness
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Secondary ID [1]
280941
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Nil
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Universal Trial Number (UTN)
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Trial acronym
NIET-CO2 Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Respiratory Illness
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Condition category
Condition code
Respiratory
287361
287361
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0
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Chronic obstructive pulmonary disease
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Respiratory
287362
287362
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0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Blood gas monitoring, especially carbon dioxide (CO2), is often needed for the appropriate management of patients with acute respiratory illnesses in the Emergency Department. Currently, the only accepted method to monitor CO2 is via arterial blood gas sample, however, repeated arterial blood sampling is invasive, causes patient discomfort, and fails to provide a continuous picture of changes in blood gas levels, in response to therapeutic interventions. Measuring oxygen saturation and carbon dioxide continuously provides more information about changes than single arterial measurements.
This study will monitor CO2, using a non-invasive oral nasal cannula attached to a monitor and compare this to the traditional arterial CO2 reading. A CO2 reading will be recorded at the same time that a blood gas is taken, to see if there is a correlation between non invasive CO2 (NIET-CO2) and ABG results. Each session will last approximately 15 minutes, and the patient may be involved in more than one session, if as part of their routine care they have more than one blood gas taken.
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Intervention code [1]
285374
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Not applicable
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Comparator / control treatment
A CO2 reading will be recorded using a non-invasive oral nasal cannula attached to a monitor at the same time that a blood gas is taken, to see if there is a correlation between non invasive CO2 (NIET-CO2) and ABG CO2 results.
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Control group
Active
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Outcomes
Primary outcome [1]
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If there is a correlation between NIET-CO2 and ABG CO2 results.
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Assessment method [1]
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Timepoint [1]
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non-invasive CO2 reading to be recorded at the same time as the arterial blood gas is taken, which could be at any time time during the course of treatment in the emergency department.
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Secondary outcome [1]
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nil
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Assessment method [1]
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Timepoint [1]
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nil
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Eligibility
Key inclusion criteria
All patients with an acute respiratory illness who would normally have arterial blood gases done as part of their routine care will be deemed appropriate to be included in the study.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients under 18 years of age.
Pregnant patients (respiratory physiology changes considerably in pregnancy and may confound results)
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
1/11/2012
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Actual
21/01/2013
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Date of last participant enrolment
Anticipated
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Actual
11/06/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
139
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Fremantle Hospital Medical research Foundation
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Address [1]
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Alma Street
Fremantle
Western Australia 6160
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Sarah Gow
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Address
Fremantle Hospital Emergency Medicine Research Unit
Fremantle Hospital
Alma Street
Fremantle
Western Australia 6160
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Yusuf Nagree
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Address [1]
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Fremantle Hospital Emergency Medicine Research Unit
Fremantle Hospital
Alma Street
Fremantle
Western Australia 6160
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Country [1]
284554
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Australia
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Other collaborator category [1]
276992
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Individual
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Name [1]
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Peter Sprivulis
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Address [1]
276992
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Fremantle Hospital Emergency Medicine Research Unit
Fremantle Hospital
Alma Street
Fremantle
Western Australia 6160
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Country [1]
276992
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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South Metropolitan Health Service HREC
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Ethics committee address [1]
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Fremantle Hospital Alma Street Fremantle Western Australia 6160
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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17/07/2012
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Approval date [1]
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14/08/2012
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Ethics approval number [1]
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1/12/0240
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Summary
Brief summary
Blood gas monitoring, especially carbon dioxide (CO2), is often needed for the appropriate management of patients with acute respiratory illnesses in the Emergency Department. Currently, the only accepted method to monitor CO2 is via arterial blood gas sample, however, repeated arterial blood sampling is invasive, causes patient discomfort, and fails to provide a continuous picture of changes in blood gas levels, in response to therapeutic interventions. Measuring oxygen saturation and carbon dioxide continuously provides more information about changes than single arterial measurements. This study will monitor CO2, using a non-invasive oral nasal cannula attached to a monitor and compare this to the traditional arterial CO2 reading. A CO2 reading will be recorded at the same time that a blood gas is taken, to see if there is a correlation between non invasive CO2 (NIET-CO2) and ABG results.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
34510
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Sarah Gow
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Address
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Fremantle Hospital Emergency Medicine Research Unit
Fremantle Hospital
Alma Street
Fremantle
Western Australia 6160
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Country
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Australia
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Phone
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+61 8 94313733
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Fax
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+61 8 94313073
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Email
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[email protected]
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Contact person for scientific queries
Name
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Sarah Gow
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Address
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Fremantle Hospital Emergency Medicine Research Unit
Fremantle Hospital
Alma Street
Fremantle
Western Australia 6160
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Country
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Australia
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Phone
8685
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+61 8 94313733
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Fax
8685
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+61 8 94313073
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Email
8685
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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