None listed
Conditions
Brief summary
Comparison of the Slider prong Continuous positive airway pressure (CPAP) interface to the standard Fisher and Paykel CPAP interface in terms of effectiveness for the management of neonatal respiratory distress syndrome, incidence of nasal trauma and acceptability to nursing staff and parents of babies with respiratory distress syndrome in the Mercy Womens Neonatal intensive care unit.
Interventions
The device will deliver continuous positive pressure (CPAP) to neonates with respiratory distress syndrome in place of the standard Fisher and Paykel prongs/mask. It will be utilized within the Mercy Womens Neonatal ICU by medical and nursing staff in neonates deemed appropriate. The duration of CPAP will be for the duration of clinical signs of respiratory distress syndrome in the baby. The mode of delivery of CPAP is via the Drager ventilator. In terms of recruitment, we hope to recruit 30 neonates within 1 year. The allocation is non-randomized and the first 30 infants recruited will receive the intervention. The location is within the Neonatal intensive care unit at the Mercy Womens Hospital which is a level 6 neonatal intensive care unit. Neonatal observations will be assessed by the chief investigator to assure adherence to the study protocol and correct use of the device
Sponsors
Study design
Eligibility
Inclusion criteria
Neonates who are greater than 28 weeks gestational age who have been stable on conventional CPAP for 24 hours previously but still have respiratory distress syndrome requiring CPAP treatment.
Exclusion criteria
Instability on CPAP requiring additional respiratory support or ventilation Anatomical abnormalities impacting airway structure ie Cleft palate or Pierre Robin