Efficacy of Inhaled RhDNase in Mechanically Ventilated Pediatric Patients with an Atelectasis
- Conditions
- atelectasispartly collapsed lung10024967
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- Not specified
- Target Recruitment
- 80
1. Age 0-18 years
2. Mechanical ventilation
3. Presence of an atelectasis on a chest radiograph (CXR)
4. First dose of study medication can be administered within 12 hours after an atelectasis has been diagnosed.
1. Children with neuromuscular disorders and impaired ability to cough; cardiomyopathy; or cystic fibrosis.
2. Post-gestational age < 32 weeks
3. Mechanical ventilation during muscle paralysis
4. Atelectasis due to a bronchoscopically diagnosed:
- foreign body aspiration
- tracheal or bronchial compression by lymph nodes or vessels
5. RhDNase treatment in the previous 48 hours.
6. Clinical condition or ventilator settings that are not compatible with nebulizing medication (according to the responsible physician)
7. Presence of a pneumothorax
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Change from baseline in Chest radiograph-score at 48 hours. </p><br>
- Secondary Outcome Measures
Name Time Method <p>Secondary endpoints: Change from baseline in Chest radiograph-score at 24<br /><br>hours, and change in: ventilatory settings; saturation; blood-gas values and<br /><br>DNA content in tracheal aspirates; duration of mechanical ventilation. </p><br>