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Does rotation of nasal interfaces decreases the incidence of nasal injury in neonates on nasal CPAP

Not Applicable
Conditions
Health Condition 1: P073- Preterm [premature] newborn [other]
Registration Number
CTRI/2019/01/017320
Lead Sponsor
AIIMS Jodhpur
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1.Inborn preterm neonates of <35 weeks of gestation with respiratory distress requiring CPAP within first 6 hours of life. Respiratory distress has been defined as the presence of any two out of the three findings: tachypnea defined as a respiratory rate greater than 60/ min, retractions, expiratory grunt).

2.Neonates intubated in the delivery room for asphyxia or for surfactant administration and extubated to CPAP within 6 hours of life will be also eligible.

3.Inborn/outborn preterm neonates <35 weeks of gestation requiring CPAP/ NIMV as post-extubation respiratory support.

Exclusion Criteria

1.Perinatal asphyxia (5 minute Apgar score of <=3)

2.Life threatening congenital malformations such as congenital diaphragmatic hernia, trachea-esophageal fistula

3.Malformations that would prevent establishing CPAP such as Pierre-Robinson syndrome, choanal atresia, cleft lip and palate

4.Major congenital abnormality including antenatally diagnosed chromosomal abnormalities

5.Conditions where CPAP would be contraindicated such as

•Poor spontaneous respiratory efforts or apnea

•Worsening shock

•Suspected or proven PPHN

•Severe metabolic acidosis (pH <7.2 with base deficit > -10),

•Severe respiratory acidosis (pH <7.2 with PaCO2 >55mmHg)

•Massive pulmonary hemorrhage

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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