Meconium Aspiration Syndrome
Conditions
Keywords
Meconium aspiration syndrome, Heliox, Mechanical ventilation, Newborn
Brief summary
The aim of the study: to assess the effect of short-term mechanical ventilation with heliox in newborns with meconium aspiration syndrome on vital signs, oxygenation, acid-base balance and respiratory function parameters.
Interventions
Mechanical ventilation (MV) with air-oxygen at baseline, then 1 hour of heliox (helium-oxygen) MV and then return to MV with air-oxygen.
Sponsors
Study design
Eligibility
Inclusion criteria
* meconium aspiration syndrome diagnosed based on clinical and radiological findings, * respiratory failure requiring mechanical ventilation
Exclusion criteria
* congenital malformations or congenital genetic syndromes, * persistent pulmonary hypertension of the newborn (PPHN) requiring inhaled nitric oxide treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in acid-base balance and oxygenation | Parameters recorded first at the baseline during ventilation with air-oxygen gas mixture, then after 15 and 60 minutes of the heliox ventilation and finally 15 and 60 minutes after switching back to air-oxygen ventilation. | Acid-base balance and oxygenation assessed on arterial blood gas samples, saturation measured with a pulse oximeter and calculated values of oxygenation index and alveolar-arterial oxygen tension difference. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in respiratory parameters | Parameters recorded first at baseline during ventilation with air-oxygen gas mixture, then after 15 and 60 minutes of the heliox ventilation and finally 15 and 60 minutes after switching back to air-oxygen ventilation. | Analyzed parameters: tidal volume (VT, \[ml/kg\]), minute ventilation (VE, \[l\]) and peak expiratory flow rate (PEFR, \[l/min\]). Recorded ventilator settings: respiratory rate (RR), mean airway pressure (MAP) and fraction of inspired oxygen (FiO2). |
Countries
Poland