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High versus low initial oxygen to improve the breathing effort of preterm infants at birth

High versus low initial oxygen to improve the breathing effort of preterm infants at birth - IMProving Respiration with Oxygen Evaluation study (IMPROvE study)

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON46752
Enrollment
50
Registered
2017-12-01
Start date
2018-01-28
Completion date
Unknown
Last updated
2024-04-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prematurity preterm birth

Interventions

Based on randomization, stabilisation after birth will be started with a FiO2 of either 1.0 or 0.3, after which FiO2 will be titrated based on the oxygen saturation target range. In both groups, oth

Sponsors

Leids Universitair Medisch Centrum
Lead Sponsor

Eligibility

Age
2 Years to 11 Years

Inclusion criteria

Inclusion criteria: Preterm infants of 24-30 weeks of gestation will be randomized to start stabilisation after birth with a FiO2 of either 1.0 or 0.3.

Exclusion criteria

Exclusion criteria: Congenital abnormality or condition that might have an adverse effect on breathing or ventilation, if these conditions are not already diagnosed before birth, including: congenital diaphragmatic hernia, trachea-oesophageal fistula or cyanotic heart disease.

Design outcomes

Primary

MeasureTime frame
The main study parameter is respiratory effort in the first 5 minutes after birth expressed as average respiratory minute volume.

Secondary

MeasureTime frame
Secondary parameters are inspired tidal volumes, rate of rise to maximum tidal volumes, percentage of recruitment breaths with tidal volumes above 8 ml/kg and duration of hypoxia and hyperoxia during stabilisation and plasma levels of markers of oxidative stress (8-iso-prostaglandin F2a).

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)