Bradycardia Clinical Trial
Official title:
Nasopharyngeal Oxygen With Nose-close and Abdomen-compression in Pediatric Flexible Bronchoscopy
The nasopharyngeal oxygen (NPO) with Nose-close (NC) and Abdomen-compression (AC) technique may use for support or rescue asphyxiated infants during Flexible bronchoscopy.
OBJECTIVES: To evaluate the efficacy of a novel cardiopulmonary resuscitation (CPR)
technique—nasopharyngeal oxygenation with nose-close and abdomen-compression (NPO-NC-AC)—in
small infants during flexible bronchoscopy (FB).
METHODS: Infants with body weight (BW) <5.0 kg and receiving nasal diagnostic or
interventional FB (dFB, iFB) were enrolled. Under NPO (0.5 L/kg/min), when infant's heart
rate (HR) <80 beats/min or oxygen saturation (SpO2) <85% for more than 10 seconds, rescue
NC-AC was initiated. It was performed by (1) increased NPO flow to 0.5-1.0 L/kg/min; (2) NC
1 second for inspiration; and (3) AC 1 second for expiration with simultaneously released
nostrils. Repeat doing steps (2) and (3) at a rate of 30 cycles/min until HR, SpO2, and
blood pressure (BP) returned to normal. Cardiopulmonary parameters were monitored and
analyzed.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care
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