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Resuscitation of Late-preterm Infants by Using Room Air or 100% Oxygen

Not Applicable
Completed
Conditions
Asphyxia
Registration Number
NCT01305031
Lead Sponsor
Nanjing Medical University
Brief Summary

In this randomized control trial, the investigators hypothesize that late-preterm infants resuscitated with a "low oxygen delivery" strategy (initiation of resuscitation with room air) will result in a significant reduction in oxidant stress without any harmful clinical effects.

Detailed Description

The delivery of high oxygen concentrations leads to the production of free radicals that can injure many organ systems. Some studies have shown that resuscitation of term newborn infants with room air were safe and of great benefit. A static room air, however, may be inappropriate for resuscitation of preterm infants. The number of late-preterm infants has increased in recent years, which represent approximately 70% of all preterm infants. Our study will evaluate the safety and efficacy of using room air during resuscitation of late-preterm infants and whether this will avoid oxidative stress derived damage and improve outcomes.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
70
Inclusion Criteria
  • inborn infant
  • gestation 34 weeks to 36 weeks 6 days
Exclusion Criteria

• known chromosomal or congenital anomalies

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
oxidative stress status7 days
oxygen saturations10 min
Secondary Outcome Measures
NameTimeMethod
Necrotizing Enterocolitis28 days
Retinopathy of prematurity28 days
Days on oxygen28 days
Intracranial hemorrhage28 days
Days on conventional ventilation28 days
Days on nasal canula28 days
Pneumothorax28 days
Days on high frequency ventilation28 days
Oxygen requirementAt 36 weeks adjusted age
Hypoxic ischemic encephalopathy28 days
Patent ductus arteriosus28 days
Death28 days

Trial Locations

Locations (1)

Nanjing Maternal and Child Care Hospital

🇨🇳

Nanjing, Jiangsu, China

Nanjing Maternal and Child Care Hospital
🇨🇳Nanjing, Jiangsu, China

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