Bronchiolitis Clinical Trial
Official title:
Interest of Non Invasive Ventilation Versus Oxygen During the Intial Managment of Infant With Bronchiolitis Who Didn't Require Mechanical Ventilation
The purpose of the study is to evaluate, in a prospective way, the clinical, the manometric an gazometric benefit of non-invasive ventilation (VNI), (INFANTFLOW [EME, Brighton, England]) during bronchiolitis of the infant compared to a conventional managment.
1. Experimental plan: The infants (0 to 6 month) admitted in pediatric intesive care unit
for respiratory distress with bronchiolitis but not requiring mechanical ventilation
are randomized in two groups: group "A" is treated with a non-invasive ventilation
device(Infantflow) during 6 hours, group "B" is treated conventionally by inhalation of
a Air/O2 mixture during 6 hours.
2. Outcome: Primary outcome: clinical score of respiratory distress at H0 and H6.
Secondary outcome: respiratory and cardiac frequency, average blood pressure.
Manometric: Variation of esophageal pressure at H0, H6. Gasometric: Minimal FiO2
necessary to reach an oxygen saturation between 94 and 98%, transcutaneus PCO2,
PaO2/FiO2
3. Analyze results: Intention to treat analysis after having checked the randomization by
comparing clinical gravity in the two arms (clinical score).
4. Calendar of the study: October 2006 at April 2008
5. Follow-up of the patients: the study proceeds during the hospitalization of the infants
during 6 hours and will not impose any specific follow-up.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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