The aim of the study is to compare the efficacy of using EFA technology versus the combination of EFA + high flow in hypersecretory patients COPD and bronchiectasis
After being informed about the study and potential risks, all patients giving written informed consent will undergo a 13-weeks trial period: 6 weeks of one technology (EFA / EFA+ HIGH FLOW), 1- wash out week and 6- weeks of the other technology in a cross over randomized trial.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
20
EFA technology: the patient has to breathe at tidal volume by a mouthpiece at level 5 for half an hour twice a day.
High Flow Technology: patient has to wear nasal cannula and breathe his nose for one hour twice a day. After he has to use EFA technology level 5 for half an hour twice a day.
Marianna Messina
Somma Lombardo, Varese, Italy
RECRUITINGCough Severity
Visual Analogic Scale (0=not severe cough;10=very severe cough)
Time frame: "Day0", "Week6", Week13"
Expectoration Difficulty
Visual Analogic Scale (0=not severe expectoration difficulty;10= very severe expectoration difficulty)
Time frame: "Day0", "Week6", Week13"
FEV 1 (Forced Expiratory Volume)
Airway obstruction index measured by spirometry
Time frame: "Day0", "Week6", Week13"
Exacerbations
number of exacerbation/ year
Time frame: "Day0", "Week6", Week13"
Inspiratory Capacity
air trapping index measured by spirometry
Time frame: "Day0", "Week6", Week13"
6 minutes walking test
index of cardiorespiratory function in activities of daily living
Time frame: "Day0", "Week6", Week13"
Saint George Respiratory Questionnaire
quality of life
Time frame: "Day0", "Week6", Week13"
Medical Research Council mMRC
dyspnea perception (0 no dyspnea, 4 very important dyspnea)
Time frame: "Day0", "Week6", Week13"
SpO2 (Oxygen Saturation by Pulse Oximetry)
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blood oxygen saturation
Time frame: "Day0", "Week6", Week13"