The aim of this study is to compare the efficacy of noninvasive positive pressure ventilation versus best medical therapy in patients with acute severe asthma
In the past, the mainstay of treatment for patients progressing to respiratory failure from acute asthma was intubation and mechanical ventilation. Newer strategies to prevent these intubations to prevent the inherent complications are being explored in form of various pharmacological means like heliox, magnesium sulfate etc. Non pharmacological strategies among which non invasive positive pressure ventilation (NIPPV) is one of the most challenging after showing success in patients with chronic obstructive airway disease (COPD) and cardiogenic pulmonary edema. Data on efficacy of NIPPV in the management of AA is sparse but has the potential to improve the management of acute severe asthma. Noninvasive ventilation merits further studies in patients with AA, and some consensus panels have suggested that its widespread application in patients with asthma await such trials.The role of NIPPV is not yet clear and needs further studies and keeping this in view we planned this study to study the role of NIPPV in the management of acute asthma.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
PGIMER
Chandigarh, Chandigarh, India
RECRUITINGImprovement in lung function defined as an increase of at least 50% in FEV1 as compared to baseline value on admission or an increase in FEV1 to > 60% of predicted value
Time frame: Time to discharge
Intensive care unit length of stay
Time frame: Time to discharge
Hospital length of stay
Time frame: Time to discharge
Improvement in the clinical status
Time frame: Time to discharge
Disappearance of pulsus paradoxus
Time frame: Time to discharge
Improvement in arterial blood gases
Time frame: Time to discharge
Improvement in oxygen saturation
Time frame: Time to discharge
Requirements of FiO2 , medications.
Time frame: Time to discharge
Need for mechanical ventilation
Time frame: Time to discharge
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