Respiratory distress syndrom. Respiratory distress syndrom
Conditions
Interventions
Intervention 1: For infants in early-NIMV group (non-synchronized mode), NIMV will set at peak inspiratory pressure (PIP) of 16 -20 cmH2O (according to infant’s birth weight and chest wall expansion),
Treatment - Devices
For infants in early-NIMV group (non-synchronized mode), NIMV will set at peak inspiratory pressure (PIP) of 16 -20 cmH2O (according to infant’s birth weight and chest wall expansion), positive end ex
For infants in early-NCPAP group, NCPAP will initiate on a continuous pressure of 5 to 6 cmH2O with a flow of 8 to 10 L/minute
Sponsors
Isfahan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
No minimum to 1 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: premature infants, weighing less than 1500 g and RDS symptoms requires treatment. Exclusion criteria: are major congenital anomalies; respiratory anomalies; orofacial malformations and cyanotic heart diseases.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effect of NIMV on need for intubation/endotracheal tube ventilation. Timepoint: Within the ?rst 48 h of life. Method of measurement: Clinical evidence of respiratory distress & ABG.;The duration of non-invasive respiratory support. Timepoint: Within the ?rst 48 h of study. Method of measurement: Clinical evidence of respiratory distress $ ?ABG. | — |
Secondary
| Measure | Time frame |
|---|---|
| Needed to surfactant. Timepoint: During first 48 h of life. Method of measurement: Daily recorded sheets.;Duration of dependency to oxygen. Timepoint: First month of life. Method of measurement: Daily recorded sheets.;Time to full enteral feeds. Timepoint: During first month of life. Method of measurement: Daily recorded sheets.;Hospitalization time. Timepoint: During first month of life. Method of measurement: Daily recorded sheets.;Pneumothorax. Timepoint: During first month of life. Method of measurement: Daily recorded sheets. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Ghobad Heidari
Isfahan University of Medical Sciences
Outcome results
None listed