Health Condition 1: P293- Persistent fetal circulation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Late preterm and term neonates who are echocardiographicaly diagnosed to have PPHN (defined as PAP of more than 25 millimetre of mercury (mm Hg)), PPHN diagnosed within 72 hrs of life
Exclusion criteria
Exclusion criteria: Congenital heart disease (Except patent ductus arteriosus, patent foramen ovale, atrial septal defect, or a single, small muscular ( Contraindication to oral/IV sildenafil ââ?¬â?? systemic hypotension, necrotizing enterocolitis (NEC), Gastrointestinal bleed; Congenital diaphragmatic hernia; Lethal congenital anomaly; Babies with severe PPHN directly started on nitric oxide on diagnosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the time to adequate clinical response to oral and IV sildenafil in neonates diagnosed with PPHN in terms of time taken for pulmonary artery pressure (PAP) to decrease below 25 mm HgTimepoint: Every 12 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Compare Time taken for Oxygenation index (OI)to decrease by 25%; Duration of mechanical ventilation ââ?¬â?? both invasive (intubated days), and non-invasive; Duration of hospital stay; Mortality; Improvement in echocardiological findings; To compare the side effects of IV and Oral sildenafil; To compare the time to achieve full feeds in both groups Timepoint: 12 hrly | — |
Countries
India
Contacts
Bharati Vidyapeeth Deemed University