Health Condition 1: P84- Other problems with newborn
Conditions
Interventions
Intervention1: Respiratory support group: Continuation of preexisting Non-Invasive respiratory support (NIPPV/CPAP) with appropriate interface during the attempt of elective intubation.
Control Interv
Sponsors
Institute of Post Graduate Medical Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: Preterm infants (less than 37 completed weeks at birth) already on NIPPV or CPAP requiring elective intubation in first 28 days of life.
Exclusion criteria
Exclusion criteria: Preterm infants undergoing intubation in delivery room. ; Preterm infants undergoing emergency intubation for resuscitation ; Preterm infants intubated directly from room air without any prior respiratory support ;Preterm infants intubated from HHHFNC ; Preterm infants intubated beyond first 28 days of life.; Major congenital anomalies. ; Cyanotic congenital heart disease. ; Contradictions to non-Invasive respiratory support eg. Congenital diaphragmatic hernia, abdominal wall defects, choanal atresia etc.; Infants with suspected or proven COVID-19, born to a mother with suspected or proven COVID-19.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of successful intubation at first attempt without physiological instability , defined by heart rate 20% from the immediate pre laryngoscopy baseline level.Timepoint: time taken during intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Feasibility of the intervention ; Number of intubation attempts ; Median oxygen saturation during intubation attempts ; Median heart rate during intubation attempts ; Duration of intubation attempts ; Duration of desaturation and bradycardia during intubation attempt ; requirement of CPR ; Pneumothorax or deathTimepoint: time taken during intubation | — |
Countries
India
Contacts
Public ContactAdrita Bose
Institute of Post Graduate Medical Education and Research
Outcome results
None listed