Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT04242654 |
Other study ID # |
AAAS5205 |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
August 17, 2020 |
Est. completion date |
October 13, 2021 |
Study information
Verified date |
January 2022 |
Source |
Columbia University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
This is a prospective randomized controlled trial comparing heart rate measurement by Doppler
ultrasound or auscultation with a stethoscope in newborn infants who require stabilization or
resuscitation immediately after birth. Enrolled subjects will be randomly assigned to have
their heart rate (HR) obtained by stethoscope (ST) or by Doppler ultrasound (DO). Neonates
will be resuscitated in accordance with the Neonatal Resuscitation Program (NRP) guidelines.
Description:
Obtaining a baby's heart rate (HR) is an important part of neonatal resuscitation in the
delivery room and helps the medical team decide how to treat the baby. When babies do not
breathe well on their own, the medical team places electrocardiogram (ECG) leads on the
baby's chest to obtain an accurate HR rapidly that can be seen by the entire team. Before the
ECG leads are placed on the baby's chest, the Neonatal Resuscitation Program (NRP) guidelines
suggest that medical team members listen to the baby's HR using a stethoscope for 6 seconds.
However, it can take longer than 6 seconds for medical team members to obtain a HR which can
delay a baby's care. The purpose of this study is to determine if Doppler ultrasound is a
useful, alternative tool, aside from a stethoscope, that can be used to quickly obtain a
baby's HR, particularly in high-risk babies. The primary objective will be the time that it
takes to obtain a baby's HR by Doppler ultrasound as compared to listening to a baby's HR
with a stethoscope. With this study, the investigators will be able to understand if Doppler
ultrasound is a useful tool in the resuscitation of babies who are high risk.