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The Effects of Position on the Oxygenation Instability of Premature Infants as Documented by SpO2 Histograms

Not Applicable
Completed
Conditions
Bronchopulmonary Dysplasia
Premature Infant
Interventions
Procedure: Position change
Registration Number
NCT03546543
Lead Sponsor
Rambam Health Care Campus
Brief Summary

SpO2 instability is in the nature of premature infants. Hypoxic episodes occur spontaneously in many of these infants, especially after the first week of life. Different interventions have been shown to influence the incidence of hypoxemic episodes in premature infants. A few studies point towards potential clinical benefits of better oxygenation and less hypoxic events by positioning very low birth weight infants prone, though a recent meta-analysis didn't find a clear benefit of prone position.

The aim of this study is to evaluate the changes in oxygenation among preterm infants receiving respiratory support when positioned prone versus supine, as documented by SpO2 histograms.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
23
Inclusion Criteria

Premature infants with a weight < 1500 g who are receiving respiratory support

Exclusion Criteria

Congenital anomalies, acute lung pathology for example x-ray confirmed pneumonia, air leak, active culture proven sepsis or on inotropic support for low blood pressure.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
PronePosition change-
SupinePosition change-
Primary Outcome Measures
NameTimeMethod
Oxygenation instability3 hours in each position

SPO2 histogram documents the oxygenation stability. we will record the histogram at the end of each period of time and compare it

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Rambam Medical Center

🇮🇱

Haifa, Israel

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