Respiratory Distress Syndrome
Conditions
Keywords
weaning, NCPAP, Preterm, sudden wean, gradual pressure off wean
Brief summary
To compare the 2 methods of weaning of nasal continuous positive airway pressure (CPAP) in premature babies born between 26 and 32 weeks
Detailed description
To study the weight and the post menstrual age (PMA) at the time of NCPAP wean utilizing the method of sudden wean as compared to gradual wean. Methods: A prospective randomized trial was conducted comparing sudden weaning with gradual weaning from NCPAP in neonates with gestational age between 26 and 32 weeks. The patients were randomized to one of the two methods of weaning from NCPAP and their success was compared
Interventions
NCPAP will be removed by gradually decreasing pressure over 24 hours once the weaning is decided
Sponsors
Study design
Eligibility
Inclusion criteria
* All neonates born 26 to 32 weeks of gestational age
Exclusion criteria
* Those with severe congenital anomalies and chromosomal defects including congenital heart disease, neurological malformations, chest and airway abnormalities and lung hypoplasia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success of weaning on first trial off NCPAP | Completion of Nasal Continuous Positive Airway Pressure (NCPAP) treatment, expected average of 4 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Weight and corrected GA when come off oxygen | when off supplemental oxygen expected average of 2 weeks |
| Weight and corrected gestational age (GA) when neonates could come off NCPAP | Completion of Nasal Continuous Positive Airway Pressure (NCPAP) treatment, expected average of 4 weeks |
Other
| Measure | Time frame |
|---|---|
| length of stay in the neonatal intensive care unit | when ready to be discharged, expected average of 6-8 weeks |
Countries
United States