Respiratory Distress Syndrome Clinical Trial
Official title:
Impact of Different Modes of Noninvasive Ventilation (NCPAP Versus TrPA) on Regional Cerebral and Splanchnic Oximetry as Measured by Near Infrared Spectroscopy (NIRS) and Hemodynamics Using Echocardiography in Premature Newborns
Verified date | August 2015 |
Source | University of Manitoba |
Contact | n/a |
Is FDA regulated | No |
Health authority | Canada: Ethics Review Committee |
Study type | Observational |
The purpose of this study is to examine the blood flow and the delivery of oxygen to the brain and gut in preterm babies while they are supported with two modes of breathing machine and compare these two methods to see if one allows for better blood flow to the brain and gut.
Status | Completed |
Enrollment | 10 |
Est. completion date | August 2014 |
Est. primary completion date | August 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A to 2 Months |
Eligibility |
Inclusion Criteria: - Preterm infants less than 34 weeks gestational age - Requirement of CPAP or TrPA as a mode of respiratory support Exclusion Criteria: - Lack of parental consent - Preterm infants more than 34 gestational weeks - Preterm infants with congenital malformation - Severe perinatal asphyxia - Hemodynamically significant patent ductus arteriosus (PDA) - Pulmonary hypertension - Septic shock - Any associated congenital heart diseases other than non-significant PDA or patent foramen ovale (PFO) - Stage 2 or 3 necrotising enterocolitis (NEC) - Intraventricular hemorrhage (IVH) grade 3 or 4 |
Observational Model: Case-Crossover, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
Canada | Health Sciences Center | Winnipeg | Manitoba |
Canada | St. Boniface General Hospital | Winnipeg | Manitoba |
Lead Sponsor | Collaborator |
---|---|
University of Manitoba |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in cardiac output | Targeted neonatal Echocardiography will be done according to the guidelines accepted by the writing group of the American society of echocardiography in collaboration with associations of European pediatric cardiologists The following standard windows will be used: Subcostal. Apical. Long and short axis parasternal. Suprasternal Measurements: Left ventricular output (LVO). Right ventricular output (RVO). |
Day 3 of life till 2 months of age | Yes |
Primary | Changes in Superior Mesenteric Artery and Middle Cerebral Artery Doppler flow. | Day 3 of life till 2 months of age | Yes | |
Primary | Cerebral and mesenteric regional tissue oxygenation | Cerebral and mesenteric rSO2 trends and data (obtained by NIRS) will be recorded along with simultaneous pulse oximeter trends and data. The splanchnic-cerebral oxygenation ratio (SCOR) reflecting the ratio between regional cerebral oxygen saturation(rcSO2) and regional splanchnic oxygen saturation (rsSO2)(rcSO2/rsSO2) will be analyzed. | Day 3 of life till 2 months of age | Yes |
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