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A clinical trial To Compare The Effect Of Volume Guaranteed Ventilation Versus Pressure Controlled Ventilation In Preterm Infants With Respiratory Distress Syndrome

Not yet recruiting
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
Inclusion Criteria
  • Neonates born preterm between 27-34 weeks 2.
  • Either gender.
  • Neonates developing RDS within first 7 days of life 4.
Exclusion Criteria
  • 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
NameTimeMethod
Total Duration of Mechanical VentilationTotal Duration of Mechanical Ventilation during hospital stay
Secondary Outcome Measures
NameTimeMethod
1.Failure of primary treatment i.e clinical decision to change the mode of ventilation2.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, India
Dr Ghanshyam Saini
Principal investigator
9419193571
gs_saini63@yahoo.com

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