Bronchopulmonary Dysplasia
Conditions
Keywords
cpap failure, bronchopulmonary dysplasia, nasal trauma, ventilation duration, non-invasive ventilation
Brief summary
The study aims to investigate efficacy and safety of nasal mask and prongs used in non-invasive ventilation in newborns by using esophageal pressure transducer. The parameters including ventilation duration, hospitalization duration, pulmonary outcomes and side effects will be evaluated.
Detailed description
Although it seems as more non-invasive there is still lack of data especially on efficacy of nasal mask use in NIV for newborns. By using esophageal pressure transducers we will evaluate the pressure supplied by the ventilation mode and compare it with more commonly used nasal prongs. The investigators will test the hypothesis of equivalence of nasal mask in comparison to prongs with better safety parameters.
Interventions
patients randomized to binasal prongs for NIV will use binasal prongs as an interface during continuous positive airway pressure support
patients randomized to nasal mask for NIV will use nasal mask as an interface during continuous positive airway pressure support
Sponsors
Study design
Eligibility
Inclusion criteria
* all newborns who require NIV as first line treatment as respiratory support in delivery room or neonatal intensive care unit
Exclusion criteria
* who are intubated in delivery room or neonatal intensive care unit before randomization * with congenital anomaly * patients who require NIV more than 3 days
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| failure of NIV | 1 year | patients who require endotracheal intubation after NIV treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ventilation duration | 3 days | both NIV and mechanical ventilation durations will be evaluated |
Other
| Measure | Time frame | Description |
|---|---|---|
| bronchopulmonary dysplasia | 1 year | oxygen or pressure requirement on postmenstrual 36 weeks of gestational age |
| septal trauma rate | 1 year | any destruction on nose that require treatment after use of NIV |
Countries
Turkey (Türkiye)