Official Title
Automated Oxygen Titration - Monitoring and Weaning in Patients With Infectious Pneumonia Requiring Oxygen - Impact on the Number of Interventions for Healthcare Workers. An Innovative Device to Manage Patients With COVID-19 Pneumonia COVID Study (Closed-Loop Oxygen to Verify That Healthcare Workers Interventions Decreaseduring Pneumonia)
Brief Summary

There is a high risk of transmission of COVID-19 to healthcare workers. In a recent cohort, 29% of the patients hospitalized were healthcare workers. Among the WHO's primary strategic objectives for the response to COVID-19, the first was to limit human-to-human transmission, including reducing secondary infections among close contacts and health care workers. Automated oxygen titration, weaning and monitoring (FreeO2 device) may be a solution to reduce the number of interventions of healthcare workers related to oxygen therapy, to reduce complications related to oxygen and to improve monitoring.

Recruiting
Coronavirus
Pneumonia
Oxygen Toxicity

Other: Standard administration of oxygen flow
The investigator recommended SpO2 target of 90-94%. The investigator will recommend that low/high SpO2 alarms be set at 88% and 96% if continuous oximetry is used.
In this group the SpO2 was recorded any time with FreeO2 device - recording mode
Control group

Device: Automated oxygen administration - FreeO2
In this group, oxygen administration will be delivered with FreeO2 (automated oxygen titration) with SpO2 target set at 92% (to maintain oxygenation in the recommended SpO2 target: 90-94%)
Intervention group

Eligibility Criteria

Inclusion Criteria:

- Age> 18 years old

- patients with acute respiratory failure related to suspected community acquired pneumonia (viral and non viral) requiring oxygen therapy < 6 L/min (or FiO2< 0.50) (to maintain SpO2 between 90 and 94% SpO2) without criteria for immediate intubation or ICU transfer.

- Patients hospital admission < 72 hours

Exclusion Criteria:

- shock state,

- no SpO2 signal available,

- patient agitation,

- pH < 7.30 (if blood gas available)

- PaCO2 > 50 mmHg, (if blood gas available) or chronic hypercapnia history

- Non invasive respiratory support (NIV, High flow Nasal Therapy (HFNT)) at study inclusion

- Withdrawal of life support or palliation as the goal of care

- patients' or next of kin refusal to participate to the study

Eligibility Gender
All
Eligibility Age
Minimum: 18 Years
Countries
Canada
Contacts

François Lellouche
418-656-8711 3572
francois.lellouche@criucpq.ulaval.ca

Pierre-Alexandre Bouchard
418-656-8711 2712
pierre-alexandre.bouchard@criucpq.ulaval.ca

Francois Lellouche
Principal Investigator
IUCPQ-UL

Laval University
NCT Number
MeSH Terms
Pneumonia