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Backup rate selection during neonatal assist control volume guarantee ventilation: A randomised crossover trial

Not Applicable
Completed
Conditions
eonatal ventilation
Neonatal ventilation
Respiratory - Other respiratory disorders / diseases
Reproductive Health and Childbirth - Complications of newborn
Registration Number
ACTRN12610000884000
Lead Sponsor
Royal Women's Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
26
Inclusion Criteria

Stable ventilated infants, ventilated using assist control volume guarantee (AC/VG) for previous 24 hours.

Exclusion Criteria

Ventilator changes in previous 4 hours, pH < 7.2, pCO2>80 mmHg, FiO2 > 0.8, acute pneumothoax/pulmonary interstitial emphysema, significant congenital abnormality, severe PVH, receiving muscle relaxants or morphine infusion > 20 ug/kg/hr

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Proportion of ventilator inflations triggered by the the infant identified from the ventilator waveforms/trigger data[These data are measured continually. The outcome is defined as the number of triggered inflations / total number of inflations over the epoch]
Secondary Outcome Measures
NameTimeMethod
Ventilator parameters determined from the ventilator data including:<br>Rate, mean airway pressure, peak inflating pressure[The data are measure continually over the epoch. Epoch averages will be compared];Measures of cardiorespiratory stability including:<br>FiO2, SpO2, TcCO2, HR and BP assessed using the ventilator data, Masimo Radical pulse oximeter, and Philips Intellivue series monitor with transcutaneous module[These data are recorded every minute. The change over the epoch will be measured (average data from last 2 mins of epoch minus average data from last 2 mins of run in period prior to epoch)]
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