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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.


Recruitment information / eligibility

Status Completed
Enrollment 32
Est. completion date October 13, 2021
Est. primary completion date October 13, 2021
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group N/A to 1 Hour
Eligibility Inclusion Criteria: - All neonates admitted to the transitional nursery for resuscitation after delivery Exclusion Criteria: - Neonates with congenital heart disease, congenital diaphragmatic hernia - Neonates whose mothers present and will have imminent delivery

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Handheld fetal doppler ultrasound
Handheld fetal doppler ultrasound will be used to assess heart rate in high-risk neonates.

Locations

Country Name City State
United States Columbia University Irving Medical Center New York New York

Sponsors (1)

Lead Sponsor Collaborator
Columbia University

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Time to obtain HR (in seconds) The primary outcome will be the time to obtain heart rate (HR), which will be defined as the time from when the neonate is placed on the radiant warmer to the time the HR is indicated to the entire resuscitation team. Up to approximately 1 minute
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