Study population are: Children who develop an atelectasis during mechanical ventilation. An atelectasis is a collapsed part of the lung that is often caused by mucus plugs.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 0-18 years 2. Mechanical ventilation 3. Presence of an atelectasis on a chest radiograph (CXR) 4. First dose of study medication can be administered within 12 hours after an atelectasis has been diagnosed. Are the trial subjects under 18? yes Number of subjects for this age range: F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Children with neuromuscular disorders and impaired ability to cough; cardiomyopathy; or cystic fibrosis. 2. Post-gestational age < 32 weeks 3. Mechanical ventilation during muscle paralysis 4. Atelectasis due to a bronchoscopically diagnosed: - foreign body aspiration - tracheal or bronchial compression by lymph nodes or vessels 5. RhDNase treatment in the previous 48 hours. 6. Clinical condition or ventilator settings that are not compatible with nebulizing medication (according to the responsible physician) 7. Presence of a pneumothorax
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the efficacy of inhaled rhDNase in addition to conventional treatment in children with an atelectasis during mechanical ventilation. ;Secondary Objective: Change from baseline in Chest radiograph-score at 24 hours, and change in: ventilatory settings; saturation; blood-gas values and DNA content in tracheal aspirates; duration of mechanical ventilation. ;Primary end point(s): Change from baseline in Chest radiograph-score at 48 hours. | — |
Countries
Netherlands