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| ID | Type | Description | Link |
|---|---|---|---|
| 2017-A03377-46 | Other Identifier | Id-RCB number |
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In palliative care, the relief of the dyspnea is necessary. Medications for the reduction of dyspnea have side effects. High-flow nasal cannula oxygen therapy (HFNC) is a new way to deliver oxygen. Investigators hypothesize that HNFC is an acceptable technic for the patient with dyspnea in palliative care.
A pilot study with 30 patients will be conducted. Acceptability of HNFC will be studied by the time of use by patients of the HNFC during one week. The effectiveness of HNFC in relieving dyspnea will be studied using Borg scale.
Pilot study for acceptability of high flow nasal cannula oxygen therapy in palliative care Population: 30 patients in palliative care (for lung cancer, terminal respiratory failure) who suffer from dyspnea and have oxygen therapy. Patients with curative care are excluded and patients who require non invasive ventilation.
An oral consent is asked.
Primary objective: acceptability of HNFC in patients with dyspnea in palliative care during one week
Secondary objectives:
Primary outcome: duration of use of the HNFC during 7 days
Secondary outcome:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| High-flow nasal oxygen | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| high-flow nasal cannula oxygen therapy (HNFC) | Device | Set up of high-flow nasal oxygen for patient with dyspnea for a respiratory disease without possibility of curative care. Patients who require a treatment by oxygen are included. After 7 days of treatment, acceptability is evaluated by the duration of use of HNFC. |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability of HNFC in patients with dyspnea in palliative care during one week | Duration of use of HNFC: nurses will set up the device to the patient who can withdraw it at any time. It will then be noted the stop time and recovery of the device for a week, which will know the time of use and acceptability. If the patient wishes to permanently stop the use of the device, the stop time will be raised. | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Efficiency of high-flow nasal oxygen in palliative care with dyspnea | Evaluation of dyspnea with the Borg scale. The Borg scale is a scale containing 10 proposals ranging in increasing order of severity (from no gene at all to extremely embarrassed) that will allow the patient to grading his respiratory gene. | At short term: one hour after the initiation and at long term: 24h and seven days after the start |
| Measure | Description | Time Frame |
|---|---|---|
| Tolerance of high-flow nasal oxygen in palliative care | Side effects (nasal dryness, nasal lesion) and noise with an numerical scale graduated from 0 to 10 (0 for no noise to 10 very noisy) | At short term: one hour after the initiation and at long term: 24h and seven days after the start |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marion DUPUIS, MD | University Hospital, Toulouse | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital LARREY, CHU Toulouse | Toulouse | 31059 | France |
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| ID | Term |
|---|---|
| D004417 | Dyspnea |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
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| Efficiency of high-flow nasal oxygen in palliative care with Sp02 | Evaluation of Sp02 using transcutaneous oximeter | At short term: one hour after the initiation and at long term: 24h and seven days after the start |
| Efficiency of high-flow nasal oxygen in palliative care with respiratory rate | Evaluation of respiratory rate | At short term: one hour after the initiation and at long term: 24h and seven days after the start |
| D013568 | Pathological Conditions, Signs and Symptoms |