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Chest Compression and Sustained Inflation

Not Applicable
Completed
Conditions
Newborn Infants Having Asystole or Bradycardia at Birth
Interventions
Procedure: CC+SI
Registration Number
NCT02083705
Lead Sponsor
University of Alberta
Brief Summary

Guidelines on neonatal resuscitation recommend 90 chest compressions (CC) and 30 manual inflations (3:1) per minute in newborns. The study aimed to determine if CC s during sustained inflations (SI) improves recovery of asphyxiated newborns compared to coordinated 3:1 resuscitation.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
9
Inclusion Criteria

Newborn infants with asystole Newborn infants with bradycardia

Exclusion Criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
SI+CCCC+SIChest compression will be superimposed by sustained inflations during CPR: "CC+SI group" Infants randomized in the SI group requiring CC, would receive CC at a rate of 90/min during an SI with a duration of 20sec (CC+SI). After 20 sec the SI will be interrupted for 1 sec and the next SI will be started for another 20sec13. Throughout this time CC is continued until ROSC. Every 45 sec (approximately 2 SIs) the clinical team would assess for changes in heart rate. CC+SI was continued until ROSC.
Primary Outcome Measures
NameTimeMethod
Time Needed to Achieve Return of Spontaneous Circulationwithin the first 10 minutes after birth

We aim to reduce time needed to achieve Return of Spontaneous Circulation. This should be achieved by the experimental chest compression technique

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Royal Alexandra Hospital

🇨🇦

Edmonton, Alberta, Canada

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