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End-Expiratory Lung ImpedanceEELI and AHFNCNCT06674629

Asymmetrical High Flow Nasal Cannula and End-Expiratory Lung Impedance

An observational study of End-Expiratory Lung Impedance and Respiratory Rate, run by Argentinian Intensive Care Society at 1 site in Argentina.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Objective: The primary aim is to assess end-expiratory lung impedance (EELI) changes during the application of high-flow oxygen therapy using asymmetric nasal cannulae, comparing conditions with the mouth closed and open in healthy volunteers in various positions. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
What is being tested?
High flow oxygen therapy
Type of treatment
Medical device
How many people
17 participants
Where
1 siteArgentina
Study dates
5 Nov 2024to 31 Jan 2025
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Study population: healthy volunteers healthcare professionals working at Sanatorio Parque in Rosario, aged between 18 and 50 years, who sign the informed consent form and have no history of respiratory pathology (who are non-smokers and do not have a history of any type of respiratory disease).

Who may be able to join

  • healthy volunteers between 18 and 50 years of age who sign the informed consent form, without respiratory pathology.

Who cannot join

  • contraindication to implement electrical impedance tomography or high flow oxygen therapy

Trial locations and contacts

1 site in 1 country.

Argentina1 site
  • Hospital Británico de Buenos Aires

    Buenos Aires, Buenos Aires, 1425

Other trials in Argentina

About this study

Official title: Effects of an Asymmetrical High Flow Nasal Cannula Interface on End-Expiratory Lung Impedance

Objective: The primary aim is to assess end-expiratory lung impedance (EELI) changes during the application of high-flow oxygen therapy using asymmetric nasal cannulae, comparing conditions with the mouth closed and open in healthy volunteers in various positions. The secondary objective includes evaluating respiratory rate, shortening fraction, and diaphragm excursion via ultrasound.

Study Design: This is a prospective observational cohort study conducted in the Critical Care Unit of Sanatorio Parque Rosario from November 5 to December 31, 2024. It will involve 20 healthy adult volunteers without respiratory conditions, with informed consent obtained from all participants. Volunteers with contraindications for electrical impedance tomography (EIT) will be excluded.

Read more

Methods: Equipment Used: PulmoVista 500 Dräger (EIT), AIRVO 2 (high-flow oxygen generator), asymmetric nasal cannula (Optiflow OPT 966), Toshiba iStyle ultrasound machine.

Procedures: The study includes EELI measurements in different positions (semi-seated, supine Fowler, prone, and prone Fowler) with various high-flow oxygen settings (40 and 60 L/min). Diaphragm excursion and thickening will be assessed using ultrasound.

Scenarios and Measurements: 17 different testing scenarios will be conducted, with 16 intervals for washout breathing at room air between scenarios. Data on EELI, respiratory rate, and diaphragm measurements will be collected.

Read the detailed description

Methodology:

Procedures: EELI, respiratory rate, and diaphragm measurements will be taken in various body positions while using high-flow oxygen therapy (HFNC) set at 40 and 60 L/min. Diaphragm excursion and thickening will be evaluated with ultrasound.

Data Collection and Analysis: Volunteers will participate in 17 different testing scenarios, with intervals of 5-minute washout periods breathing room air in a semi-seated position between each measurement. Continuous variables will be expressed as mean ± standard deviation or median and interquartile range. Repeated measures ANOVA will be used for statistical comparisons, with significance set at p < 0.05.

17 Testing Scenarios:

Semi-seated at 45° breathing room air. Semi-seated at 45° with asymmetric HFNC at 40 L/min, mouth closed for 5 minutes.

Semi-seated at 45° with asymmetric HFNC at 40 L/min, mouth open for 5 minutes. Semi-seated at 45° with asymmetric HFNC at 60 L/min, mouth closed for 5 minutes.

Semi-seated at 45° with asymmetric HFNC at 60 L/min, mouth open for 5 minutes. Supine in Fowler position (60°) with asymmetric HFNC at 40 L/min, mouth open for 5 minutes.

Supine in Fowler position (60°) with asymmetric HFNC at 40 L/min, mouth closed for 5 minutes.

Supine in Fowler position (60°) with asymmetric HFNC at 60 L/min, mouth open for 5 minutes.

Supine in Fowler position (60°) with asymmetric HFNC at 60 L/min, mouth closed for 5 minutes.

Prone at 180° with asymmetric HFNC at 40 L/min, mouth open for 5 minutes. Prone at 180° with asymmetric HFNC at 40 L/min, mouth closed for 5 minutes. Prone at 180° with asymmetric HFNC at 60 L/min, mouth open for 5 minutes. Prone at 180° with asymmetric HFNC at 60 L/min, mouth closed for 5 minutes. Prone Fowler position with asymmetric HFNC at 40 L/min, mouth open for 5 minutes.

Prone Fowler position with asymmetric HFNC at 40 L/min, mouth closed for 5 minutes.

Prone Fowler position with asymmetric HFNC at 60 L/min, mouth open for 5 minutes.

Prone Fowler position with asymmetric HFNC at 60 L/min, mouth closed for 5 minutes.

Duration per Participant: Approximately 2 hours and 15 minutes.

Ethical Considerations: All data will be anonymized and kept confidential. Participants' rights to withdraw at any time will be respected, and no personal identifying information will be disclosed.

This comprehensive approach aims to elucidate the physiological impacts of using asymmetric HFOT on end-expiratory lung volume and related respiratory parameters in various positions and conditions.

Being tested
High flow oxygen therapy
Keywords
High Flow Oxygen Therapy, End-Expiratory Lung Impedance, Respiratory rate, Diaphragm Thickness Fraction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • High flow oxygen therapyDevice

    Application of high flow oxygen therapy through asymmetric cannula at 40 and 60 L/m

Study groups in NCT06674629
Study groupRoleWhat they receive
Healthy Adult VolunteersHealthy adult volunteers, all above 18 years of age, who provide informed consent.
Receives: Device: High flow oxygen therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. End-Expiratory Lung Impedance

    Variation of end-expiratory lung impedance in different positions and with different flows.

    Measured: From enrollment to the end of treatment at 2.30hours

Secondary outcomes (3)
  1. Respiratory Rate

    Number of respiratory cycles per minute while breathing in a quiet manner at rest.

    Measured: From enrollment to the end of treatment at 2.30hours

  2. Diaphragm Thickness Fraction

    Diaphragm Thickness Fraction (DTF) is a measure used to assess diaphragm function by comparing the change in diaphragm thickness from end-expiration to end-inspiration expressed as a percentage

    Measured: From enrollment to the end of treatment at 2.30hours

  3. Diaphragm excursion

    Diaphragm excursion refers to the movement or displacement of the diaphragm during the respiratory cycle, measured from its lowest position at end-expiration to its highest position at end-inspiration. This parameter is assessed using ultrasound and reflects the diaphragm's ability to contract effectively, with greater excursion indicating stronger respiratory muscle function.

    Measured: From enrollment to the end of treatment at 2.30hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Nov 2024
  2. Study start5 Nov 2024
  3. Primary completion31 Dec 2024
  4. Study completion31 Jan 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
17 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06674629
Sponsor's protocol ID
#30102024
Acronym
EELI and AHFNC
Status last verified
Jun 2025
First submitted
4 Nov 2024
Last updated
2 Jul 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: all IPD on which the results of the publication are based will be in the publication or shared through direct links after consultation with the PI via e-mail

Publications

  • Slobod D, Spinelli E, Crotti S, Lissoni A, Galazzi A, Grasselli G, Mauri T. Effects of an asymmetrical high flow nasal cannula interface in hypoxemic patients. Crit Care. 2023 Apr 18;27(1):145. doi: 10.1186/s13054-023-04441-6.

    PubMed 37072854
  • Boscolo A, Pettenuzzo T, Zarantonello F, Sella N, Pistollato E, De Cassai A, Congedi S, Paiusco I, Bertoldo G, Crociani S, Toma F, Mormando G, Lorenzoni G, Gregori D, Navalesi P. Asymmetrical high-flow nasal cannula performs similarly to standard interface in patients with acute hypoxemic post-extubation respiratory failure: a pilot study. BMC Pulm Med. 2024 Jan 8;24(1):21. doi: 10.1186/s12890-023-02820-x.

    PubMed 38191347
  • Tatkov S, Rees M, Gulley A, van den Heuij LGT, Nilius G. Asymmetrical nasal high flow ventilation improves clearance of CO2 from the anatomical dead space and increases positive airway pressure. J Appl Physiol (1985). 2023 Feb 1;134(2):365-377. doi: 10.1152/japplphysiol.00692.2022. Epub 2023 Jan 12.

    PubMed 36633864
  • Roca O, Riera J, Torres F, Masclans JR. High-flow oxygen therapy in acute respiratory failure. Respir Care. 2010 Apr;55(4):408-13.

    PubMed 20406507
  • Parke RL, Eccleston ML, McGuinness SP. The effects of flow on airway pressure during nasal high-flow oxygen therapy. Respir Care. 2011 Aug;56(8):1151-5. doi: 10.4187/respcare.01106. Epub 2011 Apr 15.

    PubMed 21496369
  • Groves N, Tobin A. High flow nasal oxygen generates positive airway pressure in adult volunteers. Aust Crit Care. 2007 Nov;20(4):126-31. doi: 10.1016/j.aucc.2007.08.001. Epub 2007 Oct 10.

    PubMed 17931878
  • Plotnikow GA, Thille AW, Vasquez DN, Pratto RA, Quiroga CM, Andrich ME, Dorado JH, Gomez RS, D'Annunzio PA, Scapellato JL, Intile D. Effects of High-Flow Nasal Cannula on End-Expiratory Lung Impedance in Semi-Seated Healthy Subjects. Respir Care. 2018 Aug;63(8):1016-1023. doi: 10.4187/respcare.06031. Epub 2018 Jun 26.

    PubMed 29945910
  • Hernandez G, Vaquero C, Gonzalez P, Subira C, Frutos-Vivar F, Rialp G, Laborda C, Colinas L, Cuena R, Fernandez R. Effect of Postextubation High-Flow Nasal Cannula vs Conventional Oxygen Therapy on Reintubation in Low-Risk Patients: A Randomized Clinical Trial. JAMA. 2016 Apr 5;315(13):1354-61. doi: 10.1001/jama.2016.2711.

    PubMed 26975498
  • Frat JP, Thille AW, Mercat A, Girault C, Ragot S, Perbet S, Prat G, Boulain T, Morawiec E, Cottereau A, Devaquet J, Nseir S, Razazi K, Mira JP, Argaud L, Chakarian JC, Ricard JD, Wittebole X, Chevalier S, Herbland A, Fartoukh M, Constantin JM, Tonnelier JM, Pierrot M, Mathonnet A, Beduneau G, Deletage-Metreau C, Richard JC, Brochard L, Robert R; FLORALI Study Group; REVA Network. High-flow oxygen through nasal cannula in acute hypoxemic respiratory failure. N Engl J Med. 2015 Jun 4;372(23):2185-96. doi: 10.1056/NEJMoa1503326. Epub 2015 May 17.

    PubMed 25981908
  • Roca O, Hernandez G, Diaz-Lobato S, Carratala JM, Gutierrez RM, Masclans JR; Spanish Multidisciplinary Group of High Flow Supportive Therapy in Adults (HiSpaFlow). Current evidence for the effectiveness of heated and humidified high flow nasal cannula supportive therapy in adult patients with respiratory failure. Crit Care. 2016 Apr 28;20(1):109. doi: 10.1186/s13054-016-1263-z.

    PubMed 27121707

Questions about this trial

What is this clinical trial studying?

An observational study of End-Expiratory Lung Impedance and Respiratory Rate, run by Argentinian Intensive Care Society at 1 site in Argentina.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Argentina. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

End-Expiratory Lung Impedance (time frame: From enrollment to the end of treatment at 2.30hours). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06674629, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jul 2025.

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