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High Flow Nasal Cannula is Appropriate Alternative for Stabilization of Very Premature Infants: a Prospective Observational Study

Not Applicable
Completed
Conditions
Premature; Infant
Interventions
Device: High-Flow Nasal Cannula
Registration Number
NCT06458582
Lead Sponsor
Charles University, Czech Republic
Brief Summary

A prospective observational study evaluates the safety and efficacy of using High-Flow Nasal Cannula to stabilize very preterm infants immediately after birth. Following placental transfusion, high flow nasal cannula at 8 l/min is administered along with intermittent tactile stimulation. Criteria for switching to other interventions like continuous positive airway pressure or positive pressure ventilation are set for cases of persistent bradycardia or low SpO2.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
65
Inclusion Criteria
  • Preterm infants born between 28+0 and 31+6 gestational weeks were enrolled in the study after obtaining parental informed consent.
Exclusion Criteria
  • Infants with congenital malformations, previable rupture of membranes, and acute intrauterine hypoxia.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
High-flow-nasal-cannulaHigh-Flow Nasal CannulaIn this study, very preterm infants receive High-Flow Nasal Cannula therapy immediately after birth. The intervention includes placental transfusion, followed by administering High-Flow Nasal Cannula at a flow rate of 8 l/min along with intermittent tactile stimulation. Criteria for switching to Continuous Positive Airway Pressure or Positive Pressure Ventilation are established for cases of persistent bradycardia or low SpO2.
Primary Outcome Measures
NameTimeMethod
HFNC slabilization10 minutes after delivery

Number of infants who were stabilized after birth on high flow nasal cannula exclusively without any other use of artificial external pressures.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Charles University in Prague

🇨🇿

Praha, Czech, Czechia

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