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Trial registered on ANZCTR
Registration number
ACTRN12607000372482
Ethics application status
Approved
Date submitted
9/07/2007
Date registered
16/07/2007
Date last updated
21/12/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
A Study into High Flow Humidified Nasal Oxygen Therapy (OptiflowTM) and its' Impact on Lung Pressures.
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Scientific title
A Study of Cardiac Surgical Patients Using High Flow Humidified Nasal Oxygen Therapy (OptiflowTM) and its' Impact on Mean Airway Pressures at Different Flow Rates.
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Secondary ID [1]
279640
0
The flow and pressure study
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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:
Acute Respiratory Failure
1952
0
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Condition category
Condition code
Respiratory
2047
2047
0
0
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Other respiratory disorders / diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Whilst participants (n15) are still sedated following cardiac surgery, a 10F pressure catheter will be inserted into the hypopharynx via the nose. Once awake and extubated, participants will be commenced on the OptiflowTM system. Once settled on the therapy the pressure catheter position will be confirmed using end tidal CO2 monitoring. Pressure measurements will then be carried out with three different gas flow rates:30, 40 and 50L/min with mouth open and then repeated with mouth closed. The pressure catheter will be gently removed at the end of this period. The measurements will take approximately 30mins to complete. The intervention is OptiflowTM at three different flow rates. We are investigating only the relationship between flow and pressure. We hope to describe a positive and linear relationship between flow and pressure. ie more flow equals more pressure.
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Intervention code [1]
1880
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Treatment: Devices
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Comparator / control treatment
No comparator
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
2876
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Mean airway pressure as determined by measurements taken over one minute of breathing. Specially designed software will be used to carry out the measurements and calculate the mean.
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Assessment method [1]
2876
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Timepoint [1]
2876
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Measurement is continuous over one minute. Mean is calculated by averaging the peak and trough pressures over the entire minute of breathing.
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Secondary outcome [1]
8905
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NA
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Assessment method [1]
8905
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Timepoint [1]
8905
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NA
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Eligibility
Key inclusion criteria
Consent has been obtained • The patient is undergoing cardiac surgery requiring sternotomy.
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Minimum age
18
Years
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Maximum age
Not stated
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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 will be excluded from the study if one or more of the following criteria are present:• The patient has significant nasal septum deviation.• High flow nasal oxygen therapy is contraindicated. • Following surgery the patient is unable to follow simple commands once awake and extubated
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
This is a descriptive study only and is therefore not randomised or blinded.
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Phase
Phase 1
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
10/09/2007
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
15
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
525
0
New Zealand
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State/province [1]
525
0
North Island
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Funding & Sponsors
Funding source category [1]
2190
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Commercial sector/Industry
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Name [1]
2190
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Fisher and Paykel Healthcare Ltd
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Address [1]
2190
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15 Maurice Paykel Place, East Tamaki, Auckland, New Zealand
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Country [1]
2190
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New Zealand
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Primary sponsor type
Commercial sector/Industry
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Name
Fisher and Paykel Healthcare Ltd
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Address
15 Maurice Paykel Place, East Tamaki, Auckland 2013, New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
1976
0
Government body
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Name [1]
1976
0
Auckland District Health Board
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Address [1]
1976
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Cardiothoracic and Vascular Intensive Care Unit. Level 4. Auckland City Hospital. Park Road. Grafton. Auckland. New Zealand
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Country [1]
1976
0
New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
3990
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Northern X New Zealand ethics committee
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Ethics committee address [1]
3990
0
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Ethics committee country [1]
3990
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New Zealand
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Date submitted for ethics approval [1]
3990
0
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Approval date [1]
3990
0
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Ethics approval number [1]
3990
0
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Ethics committee name [2]
6361
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Northern X New Zealand ethics committee
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Ethics committee address [2]
6361
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Ministry of Health. 3rd floor. Unisys Building. 650 Great South Road. Penrose. Auckland.
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Ethics committee country [2]
6361
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New Zealand
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Date submitted for ethics approval [2]
6361
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22/08/2007
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Approval date [2]
6361
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30/08/2007
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Ethics approval number [2]
6361
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NTX/07/08/085
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Summary
Brief summary
This study will describe the relationship between the flow of gas delivered by the OptiflowTM system and the pressure exerted in the upper airways of 15 cardiac surgical patients. The researchers wish to demonstrate that more gas flow will deliver higher pressures to the airways.This information is needed so that doctors can be guided as to how much flow to administer to patients in order to achieve a desired airway pressure. Such pressure in the airways can assist patients who have breating difficulties. This data will also inform future, more detailed research in this area.
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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
27694
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Address
27694
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Country
27694
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Phone
27694
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Fax
27694
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Email
27694
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Contact person for public queries
Name
11069
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Rachael Parke
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Address
11069
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Cardiothoracic and Vascular Intensive Care Unit
Level 4
Auckland City Hospital
Park Road
Grafton
Auckland
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Country
11069
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New Zealand
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Phone
11069
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+64 9 3074949 ext. 24489
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Fax
11069
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+64 9 6236463 ext. 24473
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Email
11069
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[email protected]
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Contact person for scientific queries
Name
1997
0
Michelle Eccleston
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Address
1997
0
Fisher and Paykel Healthcare Ltd
15 Maurice Paykel Place
East Tamaki
Auckland
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Country
1997
0
New Zealand
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Phone
1997
0
+64 9 5740123 ext. 8671
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Fax
1997
0
+64 9 5740158
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Email
1997
0
[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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