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Trial registered on ANZCTR
Registration number
ACTRN12622001545752
Ethics application status
Not required
Date submitted
31/10/2022
Date registered
13/12/2022
Date last updated
13/12/2022
Date data sharing statement initially provided
13/12/2022
Date results provided
13/12/2022
Type of registration
Retrospectively registered
Titles & IDs
Public title
A pilot study comparing oxygen delivery from 4 different delivery devices under hyperbaric conditions on healthy volunteers.
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Scientific title
A pilot study comparing oxygen delivery from 4 different delivery devices under hyperbaric conditions on healthy volunteers.
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Secondary ID [1]
308312
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NIL
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
hypoxemia
328096
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Condition category
Condition code
Anaesthesiology
325151
325151
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0
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Other anaesthesiology
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The devices used were:
• “Hans Rudolph” Rudolph Nasal & Mouth Breathing Mask Face mask with head straps (model number 8930, Hans Rudolph, Kansas, U.S.A)
• “Scott” Pressur VakTM II Face Mask (model number 803600, Amron Vista, California)
• “Hsiner” CPAP/VPAP silicone medium face mask with head straps (Model number 10214, HSINER, Taichung City, Taiwan)
• “Oxygen Hood” Amron Oxygen Treatment Hood. (Model number 8891, Amron, Vista, California)
100% oxygen was used. The oxygen used was not warmed or humidified
Head straps were used to secure the Hsiner and Hans Rudolph masks onto the subject’s face. The neck seal for the hood was placed around the subject’s neck outside the chamber before pressurization and the hood was secured and inflated by the subject on testing. The Scott mask was held onto the face by the subject and the subject was asked to ensure a tight seal to avoid leakage. The Scott mask was held in place without head straps to replicate the clinical practice at our institution.
A high-pressure O2 hose connects the demand valve to the oxygen O2 outlet. A high-efficiency particulate air (HEPA) filter was attached between the demand valve and mask.
To measure the intra-mask oxygen levels, a size 6 paediatric nasogastric (NG) tube was placed through a hole drilled into the side of the mask to lie in the mask dead space. For the oxygen hood, an NG tube was positioned underneath the neck seal on the right side of the subject’s face. The NG tube was connected to a sampling line leading outside the chamber. Mask O2 analysis was performed by connecting the sampling line to a Datex Ohmeda D-CU8 with a MiniTPX side stream gas analyser.
The devices were placed on the head by the participants.
The overall duration of observation was 50 mins
All participants were exposed to all the different devices. There was no washout period.
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Intervention code [1]
324763
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Not applicable
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Comparator / control treatment
the comparator is the “Hsiner” CPAP/VPAP silicone medium face mask with head straps (Model number 10214, HSINER, Taichung City, Taiwan).
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Control group
Active
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Outcomes
Primary outcome [1]
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the intra-device oxygen levels
a size 6 paediatric nasogastric (NG) tube was placed through a hole drilled into the side of the mask to lie in the mask dead space. For the oxygen hood, an NG tube was positioned underneath the neck seal on the right side of the subject’s face. The NG tube was connected to a sampling line leading outside the chamber. Mask O2 analysis was performed by connecting the sampling line to a Datex Ohmeda D-CU8 with a MiniTPX side stream gas analyser.
Using an open-source data recording program intra-device oxygen levels, were recorded every 10 seconds over 6 minutes. The subject was asked to remain seated and not talk.
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Assessment method [1]
332977
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Timepoint [1]
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Each subject used four different oxygen delivery devices for 6 minutes consecutively in a randomized order. Statistical analysis was performed on the last 2 minutes of the measurements taken as this will most likely reflect the true intra-device FiO2.
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Secondary outcome [1]
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Comparisons of mask leakage: -
Mask leakage was determined by calculating an average standard deviation of intra-device O2 for each mask. An assumption was made that higher standard deviation would equate to higher mask leakage. A comparison was made using this average.
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Assessment method [1]
415398
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Timepoint [1]
415398
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Statistical analysis was performed on the last 2 minutes of the measurements taken as this will most likely reflect the true intra-device FiO2.
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Secondary outcome [2]
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mask comfort
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Assessment method [2]
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Timepoint [2]
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the subject was asked to rate the comfort of the device using a five-point Likert scale at 6 minutes
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Secondary outcome [3]
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.breathability of the device
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Assessment method [3]
416493
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Timepoint [3]
416493
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the subject was asked to rate the breathability of the device using a five-point Likert scale at 6 minutes
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Eligibility
Key inclusion criteria
The volunteers for this study were healthy non-smoking technicians and doctors of both sexes
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Minimum age
18
Years
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Maximum age
No limit
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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
any patients
any emergency treatment
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
The data for intra-device FiO2 were examined for normality using the Shapiro-Wilk test and found to be normally distributed. All data are presented as mean ± standard deviation and analysed using non-parametric tests. All P-values were two-tailed and considered statistically significant when p =0.05. Analysis of the comfortability and breathability results was found to be non-parametric using the Shapiro-Wilk test, and initial analysis was completed using the Friedman test.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/09/2020
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Date of last participant enrolment
Anticipated
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Actual
30/04/2022
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Date of last data collection
Anticipated
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Actual
30/04/2022
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Sample size
Target
6
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Accrual to date
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Final
6
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
25092
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canterbury
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Funding & Sponsors
Funding source category [1]
312558
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Government body
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Name [1]
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Canterbury district hospital board
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Address [1]
312558
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Hyperbaric Medical Unit
2 Riccarton Avenue, Christchurch Central City, Christchurch 4710, New Zealand
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Country [1]
312558
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New Zealand
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Primary sponsor type
Individual
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Name
Kenneth Lo
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Address
Hyperbaric Medical Unit
2 Riccarton Avenue, Christchurch Central City, Christchurch 4710, New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
314163
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None
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Name [1]
314163
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Address [1]
314163
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Country [1]
314163
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Ethics approval
Ethics application status
Not required
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Ethics committee name [1]
311885
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Ethics committee address [1]
311885
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Ethics committee country [1]
311885
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Date submitted for ethics approval [1]
311885
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Approval date [1]
311885
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Ethics approval number [1]
311885
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Summary
Brief summary
ABSTRACT BACKGROUND - Hyperbaric oxygen therapy is used for a range of emergent conditions such as decompression illness and chronic conditions such as soft tissue radiation injury. In multiplace chambers oxygen is delivered to patients different methods including a ventilated hood system, a demand valve system with an oronasal mask, and an endotracheal tube. The choice of oxygen delivery system is a balance of clinical situation, patient factors and resources of the chamber. AIMS - The primary aim of this study was to compare the concentration of oxygen delivered via different delivery devices available at our institution under pressurized conditions. The secondary aim was to assess the breathability and perceived comfort of a ventilated hood system and oronasal masks.
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Trial website
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Trial related presentations / publications
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Public notes
HDEC states study is out of scope for HDEC review.
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Contacts
Principal investigator
Name
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Dr Kenneth Lo
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Address
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Alfred health, 55 Commercial Rd, Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 426612514
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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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Kenneth Lo
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Address
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Alfred Health, 55 Commercial Rd, Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 426612514
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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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Kenneth Lo
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Address
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Alfred Health, 55 Commercial Rd, Melbourne VIC 3004
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Country
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Australia
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Phone
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+61 426612514
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Fax
122724
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
individual participant data of primary and secondary outcomes only
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When will data be available (start and end dates)?
from 1/1/2022 till 1/3/2023
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Available to whom?
individuals and organisations
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Available for what types of analyses?
statistical analysis
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How or where can data be obtained?
contact via email: -
[email protected]
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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
No additional documents have been identified.
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