Aim: The purpose of this study is to evaluate the use feasibility of FreeO2 so as to deliver automatically oxygen in the emergency department in a patient population admitted for acute respiratory failure. Hypothesis: The principal hypothesis is that FreeO2 is possible and well-accepted by nurses and medical personnel and there are advantages to use this system. In comparison with the common oxygen delivery (the rotameter), the hypothesis is that FreeO2 system will make for a better control of the oxygen saturation in function of designed target, reducing the desaturation time and hyperoxia. We think that oxygen weaning will be faster than classical way if it is automated. In addition, FreeO2 could reduce the number of intervention by nurse personnel.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
190
* Automatic adjustment of oxygen through the "Free O2" device. * "FreeO2" device in mode medical data collecting(SpO2,EtCO2...).
* Manual adjustment of oxygen without the assistance of the "FreeO2" device. * Only "FreeO2" device in mode medical data collecting(SpO2,EtCO2...).
Hopital Hotel Dieux de Levis
Lévis, Quebec, Canada
Institut universitaire de Cardiologie et de Pneumologie de Québec
Québec, Quebec, Canada
HIA Clermont Tonnerre
Brest, France
Brest, University Hospital
Brest, France
Percentage of time spent in the target zone of oxygen saturation in the acute phase of treatment
The target zone of oxygen saturation is : SpO2 = 92-96% The "acute phase of treatment" is defined by the 3 first hours of treatment by oxygenation and/or until one hour after the end of this last.
Time frame: 3 hours or 1 hour after after cessation of oxygenation
nursing workload assessed by the number of manual Oxygen flow adjustments and airway management procedures
Time frame: 3 days max
Time spent in a area of severe desaturation (SpO2 <88%) and a hyperoxia area (SpO2> 98%).
Time frame: 3 hours or 1 hour after after cessation of oxygenation
Maintaining EtCO2 in a selected area
Time frame: 3 hours or 1 hour after after cessation of oxygenation
Oxygen consumption measured at the end of administration
Time frame: 3 hours or 1 hour after after cessation of oxygenation
Duration of administration during hospitalization
Time frame: 28 days max
Number of complications related to the administration of oxygen
Time frame: 28 days max
Frequency of use of invasive or noninvasive ventilation during hospitalization.
Time frame: 28 days max
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