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itric Oxide on ExtraCorporeal Membrane Oxygenation – a randomised Trial in neonates and children (NECTAR trial).

Not Applicable
Conditions
Cardiovascular failure requiring Extracorporeal Membrane Oxygenation
Respiratory failure requiring Extracorporeal Membrane Oxygenation
Respiratory - Other respiratory disorders / diseases
Cardiovascular - Other cardiovascular diseases
Registration Number
ACTRN12619001518156
Lead Sponsor
The University of Queensland
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
50
Inclusion Criteria

1. All neonates and children < 18 years requiring ECMO for respiratory or cardiovascular dysfunction including extracorporeal cardiopulmonary resuscitation (eCPR)
2. Ability to obtain prospective consent or consent to continue from parents/guardian.

Exclusion Criteria

1. Patients retrieved to PICU on ECMO who did not undergo randomisation during cannulation
2. Pre-existing methaemoglobinemia (MetHb>3%)
3. Anticipated inability to obtain parental consent (prospective consent or consent to continue)
4. Patients managed on ventricular assist device (VAD) only without an oxygenator present in the ECMO circuit

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The main feasibility outcome is compliance with study protocol during the pilot.<br><br>We will assess the prospective hospital charts (including electronic health records and paper-based charts) and the study case report form to assess compliance with the study protocol.[30 days after randomisation.];The primary outcome is defined as survival free of ECMO, censored at 90 days post randomisation. Patients dying within 90 days of presentation will be considered as zero days to correct for the competing effect of mortality on ECMO free survival. <br><br>We will access the prospective hospital charts (including electronic health records and paper-based charts) and the study case report form to assess ECMO use and survival status.[90 days after randomisation.]
Secondary Outcome Measures
NameTimeMethod
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