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Comparing Two Breathing Support Methods in COPD With High Blood Carbon Dioxide

Compares two breathing support devices in people with COPD and breathing failure.

Plain-language title generated from the registry record
Registry title: HFNC Versus NIV in Hypercapneic COPD Patients

Key facts

Where
Al Mansurah, EgyptSee the site

Where in Egypt

  • Faculty of Medicine, Mansoura UniversityAl Mansurah, EgyptTaking people

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Trial details

Who runs it
Mohammed Shehta
Trial code
NCT07854210
Record updated
2 October 2026
Original description
Aim: To compare gas exchange trends, clinical outcomes, and tolerability between HFNC and NIV in COPD patients with mild-to-moderate hypercapnic respiratory failure.Read full original descriptionShow less

Gas Exchange, Clinical Outcomes, and Tolerability of High-Flow Nasal Cannula Versus Non-Invasive Ventilation in COPD Patients With Mild-to-Moderate Hypercapnic Respiratory Failure

Aim: To compare gas exchange trends, clinical outcomes, and tolerability between HFNC and NIV in COPD patients with mild-to-moderate hypercapnic respiratory failure.

Inclusion: COPD patients hospitalized with mild-to-moderate hypercapnic respiratory failure, defined as arterial pH [range, e.g., 7.25-7.35] and PaCO2 [threshold, e.g., >45 mmHg and less 60 mmHg].

Exclusion: patients with altered mental state, confused, severe agitation or not cooperative were excluded. Also, severe acidosis (pH <7.25), hemodynamic instability, facial trauma or surgery, cases with severe nasal deformity, immediate indication for invasive ventilation, patient refusal, cases with respiratory rate more than 35 breaths per minute. Respiratory exhaustion, excess use of respiratory accessory muscles, Patients with breathing disorders during sleep as well as cases of upper airway obstruction and patients with history of chronic home ventilation prior admission were another items for exclusion.

ClinicalTrials.gov NCT07854210