Respiratory distress Neonates Prone positioning Respiratory distress Neonates Prone
Conditions
Interventions
Babies will be put in prone position as soon as possible after randomization. If their respiratory distress is resolved between 13-
24 hours of age,
they will be turned to supine position and will not be put back to prone position. However,
if they develop respiratory distress again after being in supine position,
they will be put in prone position again until 24 hours of age. During nursing care they are allowed to be in supine position for a short period.,Babies will be in supine position as usual.
Experimental Procedure/Surgery,No Intervention No treatment
prone positioning,supine positioning
Sponsors
Walaiporn Bowornkitiwong
Nawaporn Lertsawatwicha
Eligibility
Sex/Gender
All
Age
6 Hours to 8 Hours
Inclusion criteria
Inclusion criteria: 1. newly born infants ≥ 33 weeks GA and ≥ 1500 g with persistently moderate respiratory distress at 6 hours of age 2. patients are admitted to nursery ward at Siriraj Hospital 3. spontaneous breathing in room air or with low flow cannula ≤ 2 LPM or oxygen hood FiO2 ≤ 0.4 4. moderate respiratory distress defined by one of the following: - RR ≥ 70/min - moderate intercodtal or subcostal retraction - grunting
Exclusion criteria
Exclusion criteria: 1. unstable hemodynamic status 2. congenital heart disease except PDA, ASD, VSD 3. chromosome anomaly 4. any congenital pulmonary disease 5. on respiratory support i.e. high flow nasal cannula, CPAP, ETT 6. apnea ≥ 1 episode 7. patients need to be admitted in NICU or intermediate care ward 8. patients determined by physician in charge to have unstable condition and not appropriate for the study 9. parents or guardian cannot communicate with Thai language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| respiratory rate every 4 hours until 24 hours of age Manual counting of respiratory rate | — |
Secondary
| Measure | Time frame |
|---|---|
| heart rate every 4 hours until 24 hours of age measurement with pulse oximeter,Number of apneic episode every 4 hours until 24 hours of age pulse oximeter and clinical observation,Number of bradycardia episode every 4 hours until 24 hours of age pulse oximeter and clinical observation,number of patients who need escalation of respiratory support i.e. HFNC, CPAP and intubation at 24 hours of age clinical observation | — |
Countries
Thailand
Contacts
Public ContactWalaiporn Bowornkitiwong
Siriraj Hospital
Outcome results
None listed