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We hypothesize that early and continuous administration of oxygen via high flow nasal cannula in patients with lung contusion and non-severe acute lung injury might reduce the incidence of intubation and hold the deterioration of pulmonary functions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| high flow nasal cannula | Experimental | will receive oxygen through high flow nasal cannula |
|
| oxygen mask | No Intervention | will receive oxygen through oxygen mask |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| high flow nasal cannula | Device | Patients in the intervention group receive oxygen through HFNC with a flow rate of set initially at 40 L / min, FiO2 adjusted to maintain SpO2 ≥ 92%, and will be humidified, heated to 34-37 °C, disconnection will be allowed only when ambulation is required, patients will be instructed to practice mouth closing throughout the HFNC therapy as much as possible |
| Measure | Description | Time Frame |
|---|---|---|
| need for intubation and mechanical ventilation within 28 days of randomization. | the incidence of intubation in patients with lung contusion who receive oxygen through high flow nasal cannula | 3 months |
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Inclusion Criteria:
Willing and able to provide written informed consent prior to performing study procedures, currently hospitalized and requiring medical care for blunt chest trauma, within 24h of trauma
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| amr hafez, M.D | Contact | 01225674370 | amr_foud@med.asu.edu.eg | |
| farouk Kamal, M.D | Contact | faroukkamal@med.asu.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University hospitals | Recruiting | Cairo | 11591 | Egypt |
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| ID | Term |
|---|---|
| D055370 | Lung Injury |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D013898 | Thoracic Injuries |
| D014947 | Wounds and Injuries |
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