A clinical trial To Compare The Effect Of Volume Guaranteed Ventilation Versus Pressure Controlled Ventilation In Preterm Infants With Respiratory Distress Syndrome
- Conditions
- Other specified respiratory disorders,
- Registration Number
- CTRI/2022/06/043015
- Lead Sponsor
- Dr Ghanshyam Saini
- Brief Summary
Mechanical ventilation is primarily used because an infant is failing to breathe adequately, leading to CO2 retention. CO2 removal is determined by tidal volume (VT) and respiratory or ventilator rate. Volume ventilation (VTV) strategies aim to deliver a consistent VT. Advances in neonatal intensive care have resulted in increasing survival of very preterm and extremely preterm infants. Modern neonatal ventilation modes can target a set tidal volume as an alternative to traditional pressureâ€limited ventilation (PLV) using a fixed inflation pressure. Volumeâ€guaranteed ventilation aims to produce a more stable tidal volume in order to reduce lung damage and stabilize the partial pressure of carbon dioxide (pCO2).
The VG mode also facilitates automatic weaning and as the patient lung compliance improves, the peak inspiratory pressure is automatically reduced to attain the set tidal volume
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Not Yet Recruiting
- Sex
- All
- Target Recruitment
- 116
- Neonates born preterm between 27-34 weeks 2.
- Either gender.
- Neonates developing RDS within first 7 days of life 4.
- Neonates with: a.
- Life threatening congenital malformations b.
- Air Leak Syndromes c.
- Birth Asphyxia d.
- Meconium Aspiration e.
- Severe IVH 2.
- Parents not giving valid consent.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Total Duration of Mechanical Ventilation Total Duration of Mechanical Ventilation during hospital stay
- Secondary Outcome Measures
Name Time Method 1.Failure of primary treatment i.e clinical decision to change the mode of ventilation 2.incidence of the complications, such as air leaks, intraventricular hemorrhage (IVH), retinopathy of prematurity (ROP), and peri-ventricular leukomalacia(PVL) etc will also be studied.
Trial Locations
- Locations (1)
GMC Jammu
🇮🇳JAMMU, & KASHMIR, India
GMC Jammu🇮🇳JAMMU, & KASHMIR, IndiaDr Ghanshyam SainiPrincipal investigator9419193571gs_saini63@yahoo.com