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Trial on Treatment With Inhaled Furosemide of Preterm and Term Neonates With Transient Tachypnoea

Phase 2
Completed
Conditions
Transient Tachypnoea of the Newborn
Interventions
Drug: Saline 0,9%
Registration Number
NCT01407848
Lead Sponsor
University of Cologne
Brief Summary

In this study we will prospectively analyze the benefit of inhaled furosemide for preterm and term neonates with Transient Tachypnoea.

Detailed Description

In this study we will prospectively analyze the benefit of inhaled furosemide for preterm and term neonates with transient Tachypnoea. Patients received nebulised Furosemide iv solution 1 mg/kg or nebulised 0,9% saline (4x/d) under blind conditions in random order so long as need a CPAP-treatment but max. 3 days. 20 Patient will be treating.

The benefit will be measured as reduction of dyspnea, respiratory rate, oxygen demand and time on CPAP.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Neonates with 35+0-39+0 GA on the first day of life with the clinical diagnosis of Transient Tachypnoea
  • The need for CPAP >6 h to obtain the oxygen saturation >92%
  • Written informed consent of parent/guardian
Exclusion Criteria
  • Systemic infection
  • Intubation and mechanical ventilation before Inclusion in the trail
  • Malformation and any other several disease with disturb of respiratory
  • Subjects participating in other clinical trials

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Saline 0,9%Saline 0,9%1ml/kg/Ed
FurosemideFurosemide1 mg/kg/Ed
Primary Outcome Measures
NameTimeMethod
Reduction of the Silverman-Score0-72 h or up to end of CPAP after start of the study

The primary endpoint of the study is the reduction of the Silverman score as an indicator of respiratory distress of the infant.

Silverman Score is the standard score to describe the degree of respiratory distress of neonate.

Secondary Outcome Measures
NameTimeMethod
blood electrolytes (Na+, K+, Ca++, HCO3-, Cl-)0-72 h after start of the study
body weight1-3 day of life
Oxygen supplementation0-72 h or up to end of CPAP after start of the study
A need for secondary intubation and mechanical ventilation1-3 day of life
CPAP-time0-72 h or up to end of CPAP after start of the study
blood gas (pH, pCO2,pO2)0-72 h after start of the study

Trial Locations

Locations (1)

Children´s Hospital University of Cologne

🇩🇪

Cologne, NRW, Germany

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