Preterm newborn & newborm requiring an elective endotacheal intubation MedDRA version: 12.0 Level: LLT Classification code 10067450 Term: Endotracheal intubation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Every newborn admitted in the NICU with a gestational age equal or greater than 28 weeks and needing non-urgent endothracheal intubation for different pathologies (eg. Respiratory distress, infection, cardiorespiratory insufficiency) 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: Newborns : a) With a gestational age lower than 28 weeks. b) Needing endothracheal intubation in an emergency c) With severe intraventricular hemorragy (grade 3-4)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The main objective of the trial is to compare the effectiveness of the premedication with remifentanil with respect to the premedication using morphine and midazolam ( in the unit) during the non urgent endotracheal intubation of newborns at term or premature admitted in te NICU.;Secondary Objective: The secondary objectives of the trial are to compare a) the antalgic response during the intubation (via pain assessment) b) the duration of the ventilation-extubation phases c) the number of tentatives before successful intubation d) the morbidity (on the lungs…….. e) the global tolerance (evaluation of heart rate, respiratory frequency, blood pressure…) when using premedications rémifentanil and morphine-modazolam. ;Primary end point(s): The Primary End Point of the trial is to prove that the quality of intubation in newborns (measured by the validated score of Viby-Mogensen ) using remifantanil as premedication is not lower than by using the current combination of morphine-midazolam. | — |
Countries
Belgium