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Randomised crossover trial of different nasal support systems for the treatment of apnea of prematurity

Not Applicable
Recruiting
Conditions
P28.4
Other apnoea of newborn
Registration Number
DRKS00005387
Lead Sponsor
niversitätsklinik für Kinder- und Jugendmedizin, Abt. IV Neonatologie
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
37
Inclusion Criteria

Gestational age at birth = 34 0/7 weeks; age at study performance = 38 0/7 weeks; persistent apneas despite administration of caffeine; apnea-score = 6 (a score used routinely at our neonatal intensive care unit to monitor the frequency and severity of apneas); parental approval and written informed parental consent

Exclusion Criteria

Congenital severe dysplasia (e.g. congenital heart defect, chromosome abnormality); symptomatic apnea due to sepsis, epileptic seizure, hypoglycemia or intracerebral haemorrhage; neuromuscular, muscular or skeletal disease; necessity of changing the dosis of caffeine or doxapram; necessity of intubation and mechanical ventilation

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Combined rate of intermittent hypoxia (SpO2 <80%) and bradycardia (pulse rate <80/min.) per hour. The recording of aterial oxygen saturation is carried out using a Vitaguard 300 (Getemed, Teltow, Germany) monitor for a period of 48 hours (each intervention for 8 hours, then the last one for another 24 hours).
Secondary Outcome Measures
NameTimeMethod
Mean FiO2, mean tcPCO2 and change of abdominal girth during the particular 8-hour interval (documentation through nursing staff).
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