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Trial registered on ANZCTR
Registration number
ACTRN12614000924651
Ethics application status
Approved
Date submitted
19/08/2014
Date registered
28/08/2014
Date last updated
28/08/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
High speed photography to determine the presence or absence of airborne droplets in the exhaled air of subjects wearing high flow nasal cannulae (OptiflowTM) with calculations of trajectory and drying time
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Scientific title
Airborne droplet generation in the exhaled air of healthy subjects wearing high flow nasal cannulae
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Secondary ID [1]
285189
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Infection control for respiratory viruses
292789
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Condition category
Condition code
Respiratory
293089
293089
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0
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Other respiratory disorders / diseases
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Infection
293143
293143
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0
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Studies of infection and infectious agents
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Intervention/exposure
Study type
Observational
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Patient registry
False
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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
Humidified high flow nasal cannulae are used in many clinical settings including the home and acute care hospital settings such as high dependency units and intensive care units. These cannulae are used to deliver a range of flows up to 60L/min of heated and humidified gases to support patients with compromised respiratory function. It is thought that airborne droplets in the exhaled gases may lead to the spread of respiratory viruses.
Defining the potential dispersal of viruses via aerosol is essential for the development of prevention measures therefore to determine if the cannula generates more exhaled droplets than compared to natural breathing is vital
High speed photography shall be used to determine the presence or absence of airborne droplets when high flow nasal cannulae are used in six participants at 30 and 60L/min respectively. Duration 5-10 mins.
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Intervention code [1]
290056
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Not applicable
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Comparator / control treatment
NA
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
292952
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Droplet trajectory
A region of approximately 4x4cm immediately below the participants’ nostrils shall be imaged. A Redlake Motion Pro X3 camera shall be used at 1040 frames per second, shutter speed of 40 micro seconds and resolution of 256 x 1024 pixels. The region shall be backlit with four high output LEDs and a diffusing screen of sandblasted PMMA. This will cast a silhouette of the nose and of any droplets onto the camera. A chin and forehead rest of the type used by ophthalmologists ensured that the participant could consistently place their nose in the field of view.
The camera will focuss on first the right, then the left nostril in subsequent imaged sets. The camera shall run throughout the test, and a clip of between 100 and 700 frames showing the greatest number of droplets was obtained from each experimental test.
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Assessment method [1]
292952
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Timepoint [1]
292952
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5-10min
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Secondary outcome [1]
310000
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Number and size of exhaled droplets
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Assessment method [1]
310000
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Timepoint [1]
310000
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The images of the exhaled droplets shall be processed using ImageJ, a Java image processing and analysis program.
The digital videos of the droplets shall be converted to grayscale using the Image/Type/8-bit function. The images shall then be thresholded using the Image/Adjust/Threshold menu with the typical threshold value of 25-50 grey levels.
Droplet number, size and position shall be analyzed using the Analyze/Analyze Particles panel.
Over aprox 30mins
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Eligibility
Key inclusion criteria
Healthy volunteers who have consented to participate
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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?
Yes
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Key exclusion criteria
Unable or willing to give consent
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Study design
Purpose
Natural history
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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
Statistical tests were two-sided at 5% significance level. Due to the exploratory nature of this study, no adjustment will be made on multiple comparisons. This was a convenience sample no power calculation was done to determine a sample size.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
4/01/2010
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Actual
8/01/2010
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Date of last participant enrolment
Anticipated
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Actual
30/11/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
6
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
6300
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New Zealand
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State/province [1]
6300
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Funding & Sponsors
Funding source category [1]
289801
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Commercial sector/Industry
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Name [1]
289801
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Fisher & Paykel Healthcare
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Address [1]
289801
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15 Maurice Paykel Place, East Tamaki, Auckland 2013
PO Box 14 348 Panmure, Auckland 1741 New Zealand
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Country [1]
289801
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New Zealand
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Primary sponsor type
University
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Name
University of Canterbury
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Address
School of Engineering
University of Canterbury
20 Kirkwood Ave, Upper Riccarton, Christchurch 8041
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Country
New Zealand
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Secondary sponsor category [1]
288491
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None
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Name [1]
288491
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Address [1]
288491
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Country [1]
288491
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Humidified High Flow Nasal cannulae (Optiflow Trademark Fisher and Paykel Healthcare, Auckland, New Zealand) are in use in many clinical settings including the home and the hospital. These cannulae are used to deliver a range of flows of heated and humidified gases to support patients with a variety of conditions including those with a compromised respiratory status. It is thought that whilst patients are on this therapy that their exhaled gases laden with viral airborne droplets (aerosols) may lead to an increased infection control risk. Determining both the potential dispersal of viruses via aerosol and whether the use of a cannula generates more exhaled droplets compared to normal resting breathing and forced nasal exhalation (snorting), is vital as this shall help inform any control measures. The hypothesis under consideration was that Optiflow use does not pose an increased risk of Hospital Acquired Infections (HAI’s) from an infection prevention and control perspective.
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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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Prof Mark Jermy
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Address
50782
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School of Engineering
University of Canterbury
20 Kirkwood Ave, Upper Riccarton, Christchurch 8041
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Country
50782
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New Zealand
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Phone
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+64 2102916549
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Fax
50782
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Email
50782
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[email protected]
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Contact person for public queries
Name
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Jane Clarke
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Address
50783
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Fisher & Paykel Healthcare
15 Maurice Paykel Place, East Tamaki, Auckland 2013
PO Box 14 348 Panmure, Auckland 1741 New Zealand
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Country
50783
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New Zealand
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Phone
50783
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+649 5740100
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Fax
50783
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Email
50783
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[email protected]
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Contact person for scientific queries
Name
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Mark Jermy
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Address
50784
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School of Engineering
University of Canterbury
20 Kirkwood Ave, Upper Riccarton, Christchurch 8041
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Country
50784
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New Zealand
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Phone
50784
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+64 2102916549
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Fax
50784
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Email
50784
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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
Source
Title
Year of Publication
DOI
Embase
Assessment of dispersion of airborne particles of oral/nasal fluid by high flow nasal cannula therapy.
2021
https://dx.doi.org/10.1371/journal.pone.0246123
N.B. These documents automatically identified may not have been verified by the study sponsor.
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