Respiratory Distress Syndrome, Prematurity
Conditions
Brief summary
This study will seek to enroll neonates requiring Nasal Continuous Airway Pressure (NCPAP) respiratory support and randomize them to either oscillatory (Osc-NCPAP, study group) or non-oscillatory (NCPAP, control group) mode. The goal of the research is to determine if Osc-NCPAP provides improved ventilation support compared to routine NCPAP, i.e. NCPAP without oscillations. This will be measured by need for change to ventilator support, improvement in pCO2 values, and reduction in respiratory rate and frequency of apnea during the period of NCPAP treatment. Other respiratory outcomes will also be compared, including time on NCPAP, time on High-Flow Nasal Cannula support following NCPAP, and time-averaged PiO2 from start of study to end of respiratory treatment.
Interventions
NCPAP is delivered via nasal prongs placed into infant's nares. It may be delivered via ventilator or by bubble.
Bird Industries pneumatic diaphragm is attached to NCPAP patient circuit to provide oscillations.
Sponsors
Study design
Eligibility
Inclusion criteria
* Newborn (0-28 days of age) admitted to Neonatal Intensive Care Unit (NICU) * Ordered respiratory treatment of NCPAP
Exclusion criteria
* Major congenital defect * Known or suspected chromosomal disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physiologic respiratory stability of Oscillating versus Non-Oscillating NCPAP | 2 months | Determine the physiologic respiratory stability (pCO2, respiratory rate, apnea frequency) during treatment with NCPAP |
| Need for mechanical ventilation following the initiation of NCPAP. | 2 months | The rate of mechanical ventilation following both Oscillating and Non-Oscillating groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total duration of non-invasive and invasive respiratory support in each study group. | 2 months | Determine the total duration of non-invasive and invasive respiratory support in each study group. |
| total amount of oxygen exposure in each study group. Total amount of oxygen exposure in each study group. | 2 months | Determine the total amount of oxygen exposure in each study group. |
Countries
United States