Respiratory Distress Syndrome of Neonates
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Gestational age < 32 weeks; 2. Diagnosis of RDS within 72 hours after birth, , requiring tracheal intubation for both elective and rescue HFOV; 3. Informed consent from the guardians;
Exclusion criteria
Exclusion criteria: 1. Severe birth defects: severe congenital heart disease, diaphragmatic hernia, gastrointestinal malformations, congenital brain developmental abnormalities, congenital pulmonary cysts; 2. Uncorrected shock; 3. Existence of grade 3-4 IVH before ventilated; 4. Other conditions deemed unsuitable for enrollment by neonatologists;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| At 36 weeks of corrected gestational age, moderate to severe bronchopulmonary dysplasia (BPD) (grade 2-3) or death.; | — |
Secondary
| Measure | Time frame |
|---|---|
| Death at 36 weeks of gestational age;Hemodynamic significant PDA;Weight gain rate;Necrotizing enterocolitis = stage 2;The number of doses of pulmonary surfactant replacement therapy;Retinopathy of premature;the total duration of invasive ventilation during hospitalization;air leak syndrome requiring closed thoracic drainage or pericardiocentesis, hypoxemia and bradycardia requiring cardiopulmonary compression and/or epinephrine resuscitation;Discharge against medical advice;The duration of invasive mechanical ventilation at the time of the first successful weaning from an invasive ventilator.;Late-onset sepsis;The incidence of normocapnia, hypercapnia, and hypocapnia during the intervention period;the total duration of positive pressure ventilation during hospitalization;ventilator failure, flow sensor malfunction, catheter occlusion, unplanned extubation, loose connection at the tubing joint, unplanned single-lung ventilation, air leak syndrome, ventilator-associated;The length of the first hospital stay.;BPD at 36 weeks of gestational age;Pulmonary hemorrhage, air leakage, and ventilator-associated pneumonia;Grade 3 to 4 Intraventricular hemorrage;Pulmonary hypertension (PH) requiring iNO treatment; | — |
Countries
China
Contacts
Children's Hospital of Chongqing Medical University