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Trial registered on ANZCTR
Registration number
ACTRN12617000339358
Ethics application status
Approved
Date submitted
28/02/2017
Date registered
3/03/2017
Date last updated
1/05/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
End-tidal oxygen achieved with preoxygenation via non-rebreather mask at different flow rates in healthy volunteers
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Scientific title
Efficacy of preoxygenation via non-rebreather mask, comparing standard oxygen flow at 15lpm to maximally opened flow meter in healthy participants
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Secondary ID [1]
286452
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Nil
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Universal Trial Number (UTN)
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Trial acronym
nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Intubation
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preoxygenation
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Condition category
Condition code
Anaesthesiology
294927
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The study design is two-period crossover study (repeated measures design) . Participants will complete two trials of 3-minutes pre-oxygenation via non-rebreather mask (NRM)., One trial will have an oxygen flow rate of 15lpm, The other will have the flow-meter valve turned wide open. The end-tidal oxygen (ETO2) will be measured at the end of each trial. The first trial will be followed by a washout period of 2 minutes. Allocation to the first trial (15lpm or fully open valve) will be randomised.
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Intervention code [1]
297316
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Treatment: Drugs
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Intervention code [2]
297317
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Treatment: Devices
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Comparator / control treatment
The NRM at 15l/min is the control.
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Control group
Active
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Outcomes
Primary outcome [1]
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End-tidal oxygen after 3-minutes of preoxygenation will be assessed with a paramagnetic oxygen analyser from a standard anaesthetic machine. The same analyser will be used for all trials.
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Assessment method [1]
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Timepoint [1]
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at 3 minutes
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
No regular cardiovascular or respiratory medication, no history of chronic respiratory disease.
Attendees at NSW Ambulance Aeromedical service governance days. We are not allowed to recruit outside of this site.
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Minimum age
16
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Pregnancy, lung disease, known or suspected coronary or cerebrovascular disease, treatment for asthma or
COPD, previous exposure to bleomycin, participants with beards, dentures or facial abnormalities affecting mask
seal.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The order of trials will be randomised. This randomisation will be performed using a random sequence generated using the statistical software “R”. Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random sequence generation by statistical software package.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Crossover
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Other design features
balanced Latin-Squares design. This allows the sequence of trials to be randomised, but balanced so that, if one participant was to conduct the trials in a particular order, another participant will perform their trials in the reverse of that order.
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Phase
Phase 2
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Type of endpoint/s
Pharmacodynamics
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Statistical methods / analysis
Analysis will be by paired hypothesis test depending on parametric or non-parametric distribution of the data
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/03/2016
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Date of last participant enrolment
Anticipated
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Actual
31/05/2016
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Date of last data collection
Anticipated
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Actual
31/05/2016
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Sample size
Target
40
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Accrual to date
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Final
40
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Ambulance NSW
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Address [1]
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Aero medical and retrieval services
Drover Rd
Bankstown
Nsw 2200
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Country [1]
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Australia
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Primary sponsor type
Government body
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Name
NSW Ambulance
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Address
Aeromedical Services
Drover Road
Bankstown Airport
2200
NSW
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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nil
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Address [1]
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nil
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney Local Health District
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Ethics committee address [1]
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Research Ethics and Governance Office (REGO) Royal Prince Alfred Hospital Missenden Road CAMPERDOWN NSW 2050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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09/12/2015
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Approval date [1]
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11/02/2016
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Ethics approval number [1]
297059
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HREC/15/RPAH/587
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Summary
Brief summary
Preoxygenation is critical to safe emergency airway management. Outside of the operating theatre and in prehospital environments, ‘Over flow’ from a standard wall/cylinder outlet has been proposed to greatly enhance preoxygenation via a Non-rebreather mask (NRB). Methods We performed a randomised crossover trial using two preoxygenation conditions; a NRB at 15lpm and the other a NRB with the 15lpm flowmeter with the dial turned all the way open (over-flow). End-tidal oxygen (ETO2) as a measure of preoxygenation/denitrogenating efficacy, was measured by single exhaled vital capacity breath.
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Trial website
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Trial related presentations / publications
Hayes-Bradley C, Mcquade D, Miller M. Preoxygenation via a non-rebreather mask comparing a standard oxygen flowmeter rate of 15?Lpm to maximally open. Emerg Med Australas 2017; 59: 165 . epub ahead of print. http://doi.wiley.com/10.1111/1742-6723.12784
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Public notes
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Contacts
Principal investigator
Name
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Dr David McQuade
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Address
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Department of Emergency Medicine
Wellington Hospital
Riddiford St, Newtown,
Wellington 6021,
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Country
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New Zealand
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Phone
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+64 4385 5999
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Matthew Miller
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Address
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Department of Anaesthesia
Toronto Western Hospital,
399 Bathurst St,
Toronto,
ON M5T 2S8,
Canada
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Country
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Canada
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Phone
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+1 4162784580
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Matthew Miller
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Address
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Department of Anaesthesia
Toronto Western Hospital,
399 Bathurst St,
Toronto,
ON M5T 2S8,
Canada
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Country
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Canada
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Phone
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+1 416 278 4580
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Preoxygenation via a non-rebreather mask comparing a standard oxygen flowmeter rate of 15 Lpm to maximally open.
2017
https://dx.doi.org/10.1111/1742-6723.12784
N.B. These documents automatically identified may not have been verified by the study sponsor.
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