Diaphragm Ultrasound, Electrical Cardiometry, Non Invasive Ventilation (NIV), RDS of Prematurity
Conditions
Keywords
EC, NIV, RDS, TFC, DTF, DE
Brief summary
This research assessed diaphragmatic ultrasound and thoracic fluid content (TFC) as potential early predictive tools for detecting NIV failure in preterm neonates.
Detailed description
Non-invasive ventilatory support (NIV) is considered a gold standard care for preterm infants with respiratory distress syndrome (RDS); however, NIV failure remains a frequent challenge that is often associated with many adverse outcomes
Interventions
DEVICEDiaphragmatic US
Diaphragmatic thickening fraction (DTF) and diaphragmatic excursion (DE) were measured by ultrasound within the first three hours of life and repeated either 24 hours later in successful cases or immediately before intubation in cases who had NIV failure.
DEVICEEC
TFC was assessed using electrical cardiometry (EC). Measurements were obtained within the first three hours of life and repeated either 24 hours later in successful cases or immediately before intubation in cases who had NIV failure.
Sponsors
Lamiaa Khaled Zidan
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
30 Minutes to 30 Minutes
Healthy volunteers
No
Inclusion criteria
* Preterm neonates of both sexes, with gestational ages ranging from 28 to 34 weeks, diagnosed with RDS and requiring non-invasive ventilation within 30 minutes of birth
Exclusion criteria
*
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The predictive value | Two years | The predictive value of DTF, DE, and TFC for NIV failure in preterm neonates with RDS. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Success Rate | Two years | Comparing success rates among CPAP, NIPPV, and NHFOV groups, |
Countries
Egypt
Outcome results
None listed