Respiratory failure

This study tests whether personalized ventilator settings can reduce lung injury in adults with severe respiratory failure who are on ECMO (a heart-lung machine). Researchers will use esophageal manometry or electrical impedance tomography to tailor the ventilator's positive pres…

This trial is testing a new smart pump (VPIA) that delivers morphine for pain after surgery while continuously monitoring breathing. The goal is to see if this system can provide effective pain relief while reducing the risk of breathing problems. The study involves adults aged 2…

This trial tests a new pain relief system for women after surgery. The system delivers morphine through an IV, but it uses a smart algorithm that watches oxygen levels, breathing, and heart rate in real time. If these vital signs show a problem, the pump can adjust the pain medic…

This study tests whether a device can detect when a patient's breathing slows after surgery and then play a recorded voice telling them to breathe. The device uses standard monitors already used in hospitals. The study includes patients who have or may have sleep apnea and are st…

This study looks at whether a step-by-step care plan (called TheraPPP) helps patients with severe breathing failure (ARDS) survive and spend less time on a ventilator. The plan includes proven treatments like protective ventilation, paralysis, and prone positioning. About 20,000 …

This study tests three ways emergency responders help children breathe: a bag-mask, a throat tube, or a breathing tube. It includes 3,000 children under 18 with cardiac arrest, severe injury, or breathing failure. The goal is to see which method leads to more days alive and out o…

This study tests several experimental treatments at once in critically ill COVID-19 patients who need high-flow oxygen or a ventilator. The goal is to quickly find which treatments can reduce deaths and shorten the time patients need breathing support. About 1,500 adults in the h…

This study tests whether giving inhaled anesthetics (isoflurane or sevoflurane) to sedate COVID-19 patients on ventilators can improve survival and reduce time on the breathing machine compared to standard IV sedatives. About 800 adults in the ICU with lung failure will be random…

This study tests if giving the blood thinner heparin as a shot under the skin is as safe and effective as the standard method of giving it through an IV for adults on ECMO (a machine that helps the lungs). The goal is to see if the shot method causes fewer bleeding or clotting pr…

This study was designed to see if a special MRI technique (BOLD) could measure how well fetal lungs work in babies with diaphragmatic hernia or abdominal wall defects. Researchers planned to scan the lungs while the mother breathed normal air and then oxygen, looking for changes …

This study tests a wearable device that listens to breathing sounds through a sensor on the throat. It aims to detect and predict opioid-induced respiratory depression (slow or stopped breathing) in 120 adults recovering from surgery. The device's accuracy will be compared to sta…

This study looks at whether starting noninvasive ventilation (a breathing mask) at home works as well as starting it in the hospital for people with ALS who have chronic breathing problems. Researchers will track how many hours patients use the device and whether their blood carb…

This study tests a structured team checklist called CMOT for when breathing support is removed from dying ICU patients. The goal is to reduce distress, which occurs in 30-59% of cases. Researchers will enroll 184 patients and ICU staff across four ICUs to see if the checklist is …

This study looks at a new type of oxygen device (asymmetrical high-flow nasal cannula) for patients recovering from heart surgery. About 63 adults who need extra oxygen after their breathing tube is removed will be randomly assigned to get the new device, a standard high-flow dev…

This study tests custom-made 3D-printed masks for children who use a breathing machine (NIV) at night. Many kids struggle with standard masks that leak, cause sores, or don't fit properly. The new masks are designed from a 3D scan of each child's face to improve comfort and fit. …

This phase 3 trial tests whether inhaled salbutamol, a drug used for asthma, can help newborns with transient tachypnoea (rapid breathing after birth). About 608 babies born between 32 and 42 weeks will receive either salbutamol or a placebo. The goal is to see if the drug reduce…

This study looks at genetic differences in 1,200 children aged 3-15 having tonsillectomy to see if certain genes affect how they respond to morphine. The goal is to predict which children will have serious side effects or poor pain relief. By understanding these genetic links, do…

This study tests whether training ICU staff to keep oxygen levels between 90-96% helps patients on breathing machines recover faster. Researchers will track how many days patients are free from the ventilator and how often dangerously low oxygen goes unnoticed. The goal is to imp…

Researchers at the Royal Free Hospital are testing whether electrical impedance tomography (EIT), a radiation-free imaging method that uses a chest belt and low-level electrical currents, can help clinicians adjust breathing machines for people with chronic respiratory failure. T…

This study tests whether a software tool called the Respiratory Knowledge Portal (RKP) can help ICU teams reduce complications in patients on breathing machines. Researchers will collect data from 875 patients to see if the tool improves how alarms are set, helps wean patients of…

This study looks at whether the type of breathing machine setting used in the intensive care unit (ICU) affects how well patients recover. Researchers will switch the ventilator mode used across entire ICUs every two months and track outcomes like days alive without a breathing m…

This study is building a bio-bank of blood samples from people who have had a lung transplant. Researchers will use these samples to study advanced lung diseases and improve transplant care. The goal is to better understand how infections and other factors affect patient outcomes…

This study analyzes data from over 1,200 patients with acute hypoxemic respiratory failure who were on breathing machines in Spanish ICUs. Researchers are using a statistical method called mediation analysis to determine whether low oxygen levels directly cause death, or whether …

This study follows 500 ICU patients to compare long-term mental and physical health between those with and without COVID-19. Researchers use surveys and tests to measure quality of life, thinking skills, and emotional well-being. The goal is to identify specific problems caused b…

This study is testing whether a computer can automatically measure how much lung tissue is damaged in patients with severe breathing problems from COVID-19 or after surgery. Researchers will compare the computer's lung measurements to standard severity scores in 500 patients. The…

This study observes how the diaphragm works in 100 adults with acute respiratory failure who need non-invasive breathing support or high-flow oxygen. Researchers use ultrasound to measure diaphragm movement and thickness at different support levels. The goal is to understand how …

This study looks at two different oxygen level targets for newborns who have trouble breathing or a condition called pulmonary hypertension (high blood pressure in the lungs). About 54 babies born at 35 weeks or later are randomly assigned to one of two oxygen goals. Researchers …

This study looks at two ways to help people in the ICU who have trouble breathing due to low oxygen levels. It compares using a helmet-like device plus high-flow oxygen through the nose versus high-flow oxygen alone. The goal is to see which approach works better and to gather in…

This study follows 312 older adults who survived a critical illness to see how much they moved during their ICU stay. Researchers want to learn if more activity leads to less disability, better mobility, and clearer thinking 3 to 12 months later. The goal is to find ways to impro…

This study looks at why over half of ICU patients develop severe muscle weakness that can last for months or years. Researchers will use muscle biopsies, ultrasound, and strength tests on 50 critically ill adults to find better ways to diagnose and track this condition. The goal …

This study looks at 500 patients with severe breathing failure due to pneumonia who are using a non-invasive breathing mask. Researchers will measure their energy needs, muscle function, and blood markers to identify different patient types. The goal is to better understand how t…

This study looks at whether moving from lying flat to sitting upright improves oxygen levels in patients with respiratory failure who are on breathing machines. Researchers will measure oxygen and carbon dioxide levels in the blood. The study involves 16 adults and aims to unders…

This study tests whether temperature sensors placed inside a Venturi mask can monitor breathing patterns in 82 patients hospitalized with pneumonia and respiratory failure. The goal is to see if these patterns can detect early signs of deterioration before patients need a breathi…

This study aimed to measure pressure inside the chest (pleural pressure) in people with morbid obesity using a low-dose CT scan and a thin balloon placed in the esophagus. Researchers planned to compare 6 people with a BMI over 40 to 6 people with a BMI under 30. The study was wi…

This study looks at 80 people with ALS to see if electrical tests (EMG) and ultrasound scans of breathing muscles can predict when they will need breathing support. The goal is to start noninvasive ventilation at the right time. Researchers will also check for links between muscl…