Can early oxygen therapy prevent breathing failure after chest trauma?
NCT ID NCT03943914
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether giving breathing support early (non-invasive ventilation and high-flow nasal oxygen) to people with chest injuries and low oxygen levels could prevent them from needing a breathing tube. 144 patients in the ICU took part. The goal was to see if this early approach works better than waiting until breathing gets worse.
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
-
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
-
144 people
The number who actually took part.
- Started
-
Sep 2019
- Finished
-
Nov 2021
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Patient admitted in intensive care unit within 48 hours after a high-risk blunt chest trauma, defined by a TTS (Thorax Trauma Severity) score ≥ 8. * Hypoxemia defined by a PaO2/FiO2 ratio \< 300, and the absence of hypercapnia (PaCO2 \< 45 mmHg). * Without indication of endotracheal intubation at inclusion. * Affiliated person or beneficiary of a social security scheme. * Free, informed and written consent signed by the participant and the investigator (at the latest on the day of inclusion and before any examination required by the research). Exclusion Criteria: * Criteria relating to formal indication to NIV: Exacerbation of underlying chronic respiratory disease, cardiogenic pulmonary edema, severe neutropenia. * Criteria relating to contraindications to NIV: Hemodynamic instability, Glasgow Coma Scale score ≤ 12 or excessive agitation, or other contraindications to non-invasive ventilation (active gastrointestinal bleeding, low level of consciousness, multiorgan failure, airway patency problems, lack of cooperation or hemodynamic instability). * Associated traumatic lesions entailing particular risks: severe brain injury, complex facial trauma, tetraplegia, tracheobronchial or esophageal injuries, thoracic or abdominal trauma with indication for surgery by thoracotomy or laparotomy. * Criteria relating to the regulation: A do-not-intubate order and a decision not to participate, persons placed under judicial protection, persons participating in another research including a period of exclusion still in course, severely altered physical and/or psychological health which, according to the investigator, could affect the participant's compliance of the study.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Chest injuries are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
Contacts and locations
Locations
-
AP-HM - Hôpital de la Timone
Marseille, 13385, France
-
APHP - Hôpital Beaujon
Clichy, 92110, France
-
CH d'Annecy
Annecy, France
-
CH de Pau
Pau, 64000, France
-
CHU Amiens-Picardie
Amiens, 80054, France
-
CHU de Bordeaux
Bordeaux, 33076, France
-
CHU de Clermont-Ferrand
Clermont-Ferrand, 63003, France
-
CHU de Nîmes
Nîmes, 30029, France
-
CHU de Poitiers
Poitiers, 86021, France
-
CHU de Saint Etienne
Saint-Priest-en-Jarez, 42270, France
-
CHU de Strasbourg - Hôpital Civil
Strasbourg, 67091, France
-
CHU de Strasbourg -Hôpital de Hautepierre
Strasbourg, 67200, France
-
HCL - Hôpital Lyon Sud
Pierre-Bénite, 69495, France
-
Hôpital Robert Picqué
Villenave-d'Ornon, 33882, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a portable ventilator match hospital machines? trial puts them head to head
- Can tilting a Patient's body toward the infection help them breathe free sooner?
- Can a machine breathe better than a nurse? automated oxygen system tested in COPD
- Can a battery keep ventilators running during ambulance transport?
- Can a simple ultrasound combo predict breathing failure before it happens?
- Could stepping down breathing support sooner save more lives?