NCT01471431
Terminated
Not Applicable
A Randomized Trial of the Spontaneous Breathing Trial to Extubate Very Low Birthweight Infants
ConditionsRespiratory Distress Syndrome
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Respiratory Distress Syndrome
- Sponsor
- University of Pennsylvania
- Enrollment
- 81
- Locations
- 2
- Primary Endpoint
- time to successful extubation
- Status
- Terminated
- Last Updated
- 9 years ago
Overview
Brief Summary
The objective of this study is to determine whether use of the spontaneous breathing trial allows for earlier successful extubation of very low birth weight (VLBW) infants who are intubated for >48 hours and have not yet been successfully extubated (extubated >7 days).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Birthweight \>500g and\<1500g.
- •Postmenstrual age \<34 weeks
- •Mechanically ventilated \>48 hours
- •Never successfully extubated
Exclusion Criteria
- •Congenital heart disease (other than patent ductus arteriosus (PDA), patent foramen ovale (PFO), and restrictive ventricular septal defect (VSD)
- •Known or suspected airway anomalies
- •Severe congenital malformations
- •Need to remain intubated for other reasons (i.e. having surgery)
- •Has met SBT criteria on previous calendar day (after 48 hrs of ventilation, PIP≤18, PEEP≤6, FiO2≤40%, Rate≤30, PS≤8)
Outcomes
Primary Outcomes
time to successful extubation
Time Frame: 34 weeks postmenstrual age
The time from intubation (if \>48 hours) to successful extubation (if \> 7 days) as evaluated at 34 weeks postmenstrual age (gestational age + chronologic age)
Secondary Outcomes
- bronchopulmonary dysplasia(36 weeks postmenstrual age)
- extubation failure rate(34 weeks postmenstrual age)
Study Sites (2)
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