Can a nasal cannula beat a mask for chest trauma breathing support?
NCT ID NCT05828030
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study compares two breathing support methods for people with chest trauma who have low oxygen levels. One group gets a high flow nasal cannula, the other a standard oxygen mask. The goal is to see if the nasal cannula reduces the need for a breathing tube or pneumonia. About 100 participants will be enrolled.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- high flow nasal cannula
- What this could lead to
- If it works, this could offer a more comfortable and effective way to support breathing in chest trauma patients, potentially reducing the need for a breathing tube.
- What could go wrong
- This is a small, early-stage study with only 100 participants, so results may not apply to all patients. The intervention is a procedure, not a drug, so benefits may be modest.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2023
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 to 99 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Patients who have the following condition within 72 hours of chest trauma despite receiving standard nasal cannula oxygen therapy \[≥10 L/min\], are eligible for inclusion. * severe hypoxemic respiratory failure \[Arterial partial pressure of oxygen (PaO2)/fraction of inspired oxygen fraction(FiO2) \<300 mmHg\] * with a respiratory rate \>25 breaths/minute and difficulty breathing, or respiratory distress * PaCO2 of 45 mmHg or higher (if the patient requires emergency surgery with endotracheal intubation and mechanical ventilation, the time of inclusion will be the start of the post-extubation period. (Note: For patients who receive emergency trauma surgery with endotracheal intubation and mechanical ventilation, the time of inclusion assessment will be 72 hours after extubation.) Exclusion Criteria: 1. Patients with a Glasgow Coma Scale less than 8 or severe brain injury. 2. Patients with any contraindications to non-invasive ventilation, including acute gastrointestinal bleeding, upper airway obstruction, or hemodynamic instability. 3. Facial trauma involving skull base fractures, facial bone fractures, or orbital floor fractures. 4. Severe injuries involving the nasal sinuses. 5. Patients with cervical spine injuries. 6. Patients with increased intracranial pressure. 7. Patients with facial, nasal, or airway structural abnormalities or surgery that prevents the use of appropriate nasal cannula. 8. Patients after upper airway surgery. 9. Patients who are unable to clearly express their willingness to sign informed consent.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Department of Traumatology, National Taiwain University Hospital
RECRUITINGTaipei, Taipei, 10002, Taiwan
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NTUH Hsin-Chu Branch; NTUH Yun-Lin Branch
RECRUITINGTaipei, Taiwan, 100; 300; 640; 280, Taiwan
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