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CTRI Number  CTRI/2025/05/087580 [Registered on: 26/05/2025] Trial Registered Prospectively
Last Modified On: 23/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Predictors of High flow nasal cannula failure in children. 
Scientific Title of Study   Predictors of High Flow Nasal Cannula Failure in Children Admitted to Paediatric Intensive Care Unit 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Brinda M 
Designation  Postgraduate Student 
Affiliation  Manipal College of Health Profession 
Address  Department of Respiratory Therapy, Manipal Collage of Health Professions, MAHE, Manipal.

Udupi
KARNATAKA
576104
India 
Phone  9353423968  
Fax    
Email  brinda.mchpmpl2024@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sandeep Kumar B K  
Designation  Associate Professor 
Affiliation  Kasturba Hospital, Manipal 
Address  Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.

Udupi
KARNATAKA
576104
India 
Phone  8197120018  
Fax    
Email  kumar.sandeep@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Sandeep Kumar B K  
Designation  Associate Professor 
Affiliation  Kasturba Hospital, Manipal 
Address  Department of Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.

Udupi
KARNATAKA
576104
India 
Phone  8197120018  
Fax    
Email  kumar.sandeep@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Hospital, Manipal-576104, Udupi, Karnataka, India 
 
Primary Sponsor  
Name  Brinda M 
Address  Department of Respiratory Therapy, Manipal College of Health Profession, MAHE, Manipal-576104, Udupi, Karnataka, India 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sandeep Kumar B K   Kasturba Hospital  Paediatric Intensive Care Unit, Kasturba Hospital, Manipal.
Udupi
KARNATAKA 
8197120018

kumar.sandeep@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee-2( Student Research)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J00-J99||Diseases of the respiratory system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  1.00 Month(s)
Age To  18.00 Year(s)
Gender  Both 
Details  Children aged 1 month to 18 years experienced Respiratory distress of any cause and have received HFNC Therapy 
 
ExclusionCriteria 
Details  Children with Chronic lung Disease and Congenital Cyanotic Heart Disease and files with incomplete data 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. To identify the predictors of HFNC failure  1. 1hr, 4hr, 12hrs after initiation of HFNC. 
 
Secondary Outcome  
Outcome  TimePoints 
-To determine the threshold value of each parameter that is S/F ratio, p-ROX, PRESS score.
-To assess the outcomes of children on HFNC 
1. 1hr, 4hr, 12hrs after initiation of HFNC.
2. On escalation to non invasive ventilation or intubation. 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   03/06/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
High Flow Nasal Cannula(HFNC) is a valuable respiratory support technique for adults, children, newborns, and infants. HFNC offers benefits over traditional oxygen therapy in the areas of humidification, oxygenation,CO2 clearance, and reduces respiratory distress. It is necessary to know the predictors of failure to guide the therapy. Data will be collected retrospectively from the medical records and will be analyzed to find the predictors of HFNC failure. Outcomes of HFNC and length of stay will be documented. The primary outcome is to identify the predictors of HFNC failure. The secondary outcomes are: To determine the threshold value of each parameter that is S/F ratio, p-ROX, PRESS score and to assess the outcomes of children on HFNC ( mortality). Hence, the results of this study will help in finding the parameters that will guide HFNC therapy.
                                            
 
 
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