High-Frequency Ventilation Clinical Trial
Official title:
High Frequency Oscillatory Ventilation Combined With Intermittent Sigh Breaths in Neonate: Effect on Carbon Dioxide Level
The goal of this clinical trial is to the short-term effects of sigh breaths during High-frequency oscillatory ventilation (HFOV) in neonate undergoing mechanical ventilation. From meta-analysis, It revealed HFOV in neonates could reduce chronic lung disease or death rather than conventional ventilation. The main question it aims to answer is: Do sigh breaths augment restoring lung volume and ventilation (CO2 level) in intubated neonate with HFOV? Participants will be applied sigh breaths (HFOV-sigh) during on HFOV. Researchers will compare HFOV-sigh mode to see if CO2 level (before-after intervention).
Sample size calculation (before and after intervention: two dependent mean) - alpha = 0.05, beta = 0.2, - Delta = 1.9, SD. = 4.35 - Calculated sample size = 42 - increase sample size if loss follow up 20% - Final sample size (n) = 50 Subgroup analysis for - preterm neonates - very preterm or very low birth weight neonates - extremely preterm or extremely low birth weight neonates ;
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