Neonatal respiratory distress syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ? Newborns born less than 24 hours old Diagnosed as NRDS. ? I am about to undergo the first endotracheal intubation and mechanical ventilation after birth. When facing any of the following situations, respiratory support with mechanical ventilation for infants will be considered: A. Severe respiratory acidosis lasting for more than 2 hours (PaCO2>60mmHg, pH0.5, PaO2<50mmHg or SpO2<85%). C. Frequent apnea (more than 3 episodes per hour, requiring ventilation with airbags and masks) accompanied by bradycardia (heart rate less than 100 beats per minute), D. Clinical emergency.
Exclusion criteria
Exclusion criteria: ? Congenital malformations with life-threatening conditions or congenital abnormalities that affect respiratory function; ? Level 3 or 4 intraventricular hemorrhage (IVH); ? Before inclusion, received endotracheal intubation or any form of surfactant therapy for any reason; ? Transferred out of the neonatal intensive care unit before randomization; ? Without written informed consent signed by the guardian; ? Surgery is necessary
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mechanical ventilation duration; | — |
Secondary
| Measure | Time frame |
|---|---|
| The total number of endotracheal intubations and the time required for each intubation;The diameter and insertion depth of tracheal catheters;The lowest SpO2 and heart rate during endotracheal intubation and surfactant administration.; | — |
Countries
China
Contacts
Qujing Maternal and Child Health Hospital in Yunnan Province