Positioning and the Spontaneous Breathing Test in Neonates
- Conditions
- InfantsNICUSpontaneous Breathing Test
- Registration Number
- NCT01953562
- Lead Sponsor
- Christiana Care Health Services
- Brief Summary
The spontaneous breathing test (SBT) is routinely performed on all intubated patients in the NICU who are potential candidates for extubation from mechanical ventilatory support. For all parents who consent, the routine SBT will be performed on all infants. In addition to the routine SBT the following will occur:
1. work of breathing indices: obtained non-invasively through respiratory inductive plethysmography (RIP).
2. Performing the SBT in the prone position, in addition to the routine position (supine).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- Infants who qualify for SBT as part of their normal care
- Previous history of abdominal or chest surgery (i.e. chest tube, PDA ligation, surgical NEC)
- Congenital malformation of the chest of abdomen
- Neuromuscular disorder
- Current medications affecting neuromuscular tone (ex morphine)
- Unable to be positioned either prone or supine as determined by the attending neonatologist.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Effect of prone vs supine positioning on whether an infant receives a passing score on the SBT test 30 minutes SBT is a pass/fail test. The effect of prone vs supine positioning in intubated neonates on whether a spontaneous breathing test is scored pass or fail will be determined.
- Secondary Outcome Measures
Name Time Method WOB indices during SBT 10 minutes Determination whether prone vs supine position alters the work of breathing indices in infants while receiving a SBT