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Evaluation of the effect of positioning in neonates with Congenital Diaphragmatic Hernia.

Using Electrical Impedance Tomography to Evaluate the Effect of Positioning in Neonates with Congenital Diaphragmatic Hernias

Status
Not yet recruiting
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12624000464561
Enrollment
10
Registered
2024-04-15
Start date
2024-05-01
Completion date
2024-09-01
Last updated
2024-04-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Congenital diaphragmatic hernia (CDH) is a condition requiring immediate medical and multidisciplinary management, including physiotherapy. Positioning is a commonly used physiotherapy technique supported by the literature. However, the extent of its improvement on the respiratory system is unknown due to the limitations of the measuring equipment. Current measuring tools lack the ability to detect regional changes in the lungs. Electrical impedance tomography (EIT) has shown to be safe and effective in other areas of the healthcare system but has not been used for infants with CDH. This study will use EIT to assess the effectiveness of positioning in infants with CDH.

Interventions

In infants with Congenital Diaphragmatic hernia, we will observe the differences in lung ventilation in different positions. The exposure will be the routine position changes, such as, supine, quarter turn from supine or side lie. Infants are normally positioned approximately every 6 hours. EIT and Physiological data will be collected after routine position changes - immediately, at 30 minutes, 1 hour, 2 hours and 6 hours after each position change. Recordings will continue for a total of 24 ho

In infants with Congenital Diaphragmatic hernia, we will observe the differences in lung ventilation in different positions. The exposure will be the routine position changes, such as, supine, quarter turn from supine or side lie. Infants are normally positioned approximately every 6 hours. EIT and Physiological data will be collected after routine position changes - immediately, at 30 minutes, 1 hour, 2 hours and 6 hours after each position change. Recordings will continue for a total of 24 hours. Participants will receive routine position changes regardless of their involvement in this study.

Sponsors

Mater Health
Lead SponsorHospital

Eligibility

Sex/Gender
All
Age
No minimum to 12 Months
Healthy volunteers
No

Inclusion criteria

- Age less than or equal to 12 months - CDH diagnosis - Parents/ guardians given informed consent

Exclusion criteria

- Infants with associated anomalies that would directly affect postnatal outcome. - Infants with associated disease or conditions compromising the cardiorespiratory system other than CDH. - Infants with fragile skin conditions at risk of skin breakdown from the EIT belt.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026