Respiratory Distress Syndrome Clinical Trial
— EdiOfficial title:
A Prospective Study of Diaphragmatic Electrical Activity in Preterm Infants as a Means to Predict Extubation Success
Mechanical ventilation used to support the sick newborn infant is associated with many
complications including the development of chronic lung disease. Limiting prolonged invasive
ventilation remains an important strategy to decrease lung injury and prevent chronic lung
disease. Currently, there is no objective measure available to predict readiness for removal
of the endotracheal tube ("extubation") and discontinuing mechanical ventilation in this
fragile population.
The investigators propose to predict extubation success by evaluating the electrical
activity of the diaphragm (Edi), which provides important information about the "drive" to
breathing coming from the brain and the function of the diaphragm, two essential factors
determining extubation readiness and success.
Status | Completed |
Enrollment | 21 |
Est. completion date | October 2015 |
Est. primary completion date | October 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | N/A to 28 Days |
Eligibility |
Inclusion Criteria: Preterm infants less than 35 week gestation, requiring intubation and mechanical ventilation for respiratory distress in the first 24 hours of life Exclusion Criteria: Infants with a non-intact esophagus (e.g tracheal-esophageal fistula or atresia), a non-functional diaphragm (e.g. phrenic nerve palsy), severe intracranial hemorrhage or structural CNS abnormality, severe birth asphyxia and critically sick infant needing paralysis or deep sedation. |
Observational Model: Cohort, Time Perspective: Prospective
Country | Name | City | State |
---|---|---|---|
United States | Dartmouth Hitchcock Medcial Center | Lebanon | New Hampshire |
Lead Sponsor | Collaborator |
---|---|
Dartmouth-Hitchcock Medical Center |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Edi_avg just prior to extubation in infants with extubation success and those with extubation failure | Edi_avg prior to extubation will be compared between the group with successful extubation and those with failed extubation( i.e.needing re-intubation within 3 days of extubation) | From time of initial intubation to 3 days after extubation from mechanical ventilator | No |
Secondary | Study the trends of Edi_avg in preterm infants with respiratory distress syndrome requiring mechanical ventilation in first seven days of life. | Edi_avg will be recorded continuously during mechanical ventilation to a maximum of seven day. We hypothesize that Edi_avg would correlate with severity of respiratory distress ( measured by respiratory severity index, FiO2 X Mean airway pressure) | First seven days of life | No |
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