A Randomized-Controlled Trial of Handheld Doppler Ultrasound Compared With Auscultation by Stethoscope to Assess Heart Rate During the Resuscitation of High-risk Neonates
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Neonatal Resuscitation
- Sponsor
- Columbia University
- Enrollment
- 32
- Locations
- 1
- Primary Endpoint
- Time to obtain HR (in seconds)
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This is a prospective randomized controlled trial comparing heart rate measurement by Doppler ultrasound or auscultation with a stethoscope in newborn infants who require stabilization or resuscitation immediately after birth. Enrolled subjects will be randomly assigned to have their heart rate (HR) obtained by stethoscope (ST) or by Doppler ultrasound (DO). Neonates will be resuscitated in accordance with the Neonatal Resuscitation Program (NRP) guidelines.
Detailed Description
Obtaining a baby's heart rate (HR) is an important part of neonatal resuscitation in the delivery room and helps the medical team decide how to treat the baby. When babies do not breathe well on their own, the medical team places electrocardiogram (ECG) leads on the baby's chest to obtain an accurate HR rapidly that can be seen by the entire team. Before the ECG leads are placed on the baby's chest, the Neonatal Resuscitation Program (NRP) guidelines suggest that medical team members listen to the baby's HR using a stethoscope for 6 seconds. However, it can take longer than 6 seconds for medical team members to obtain a HR which can delay a baby's care. The purpose of this study is to determine if Doppler ultrasound is a useful, alternative tool, aside from a stethoscope, that can be used to quickly obtain a baby's HR, particularly in high-risk babies. The primary objective will be the time that it takes to obtain a baby's HR by Doppler ultrasound as compared to listening to a baby's HR with a stethoscope. With this study, the investigators will be able to understand if Doppler ultrasound is a useful tool in the resuscitation of babies who are high risk.
Investigators
Eligibility Criteria
Inclusion Criteria
- •All neonates admitted to the transitional nursery for resuscitation after delivery
Exclusion Criteria
- •Neonates with congenital heart disease, congenital diaphragmatic hernia
- •Neonates whose mothers present and will have imminent delivery
Outcomes
Primary Outcomes
Time to obtain HR (in seconds)
Time Frame: Up to approximately 1 minute
The primary outcome will be the time to obtain heart rate (HR), which will be defined as the time from when the neonate is placed on the radiant warmer to the time the HR is indicated to the entire resuscitation team.