Efficacy of Nasal high frequency oscillatory ventilation (nHFOV) VERSUS Synchronised non-invasive positive pressure ventilation (SNIPPV) VERSUS Nonsynchronised non-invasive positive pressure ventilation (NS-NIPPV) as a post extubation respiratory support in preterm neonates (≥ 28 WEEKS OF GESTATION) admitted in a tertiary care centre – A 3 ARM RANDOMIZED CONTROL TRIAL
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Neonatology Departmental Fund
- Enrollment
- 129
- Locations
- 1
- Primary Endpoint
- Extubation failure within 72 hours
Overview
Brief Summary
We hypothesize that nHFOV, SNIPPV & NS-NIPPV are equally efficacious as a mode of respiratory support after extubation & reduce the need for endotracheal re-intubation. Comparison of nHFOV with NIPPV is still in its infancy and more studies are required to come to a consensus statement. In this study we have planned to compare nHFOV versus SNIPPV versus NS-NIPPV as a post extubation respiratory mode in preterm neonates more than equal to 28 weeks of gestational age admitted in a tertiary care centre from eastern India which to the best of our knowledge has not been done so far.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- None
Eligibility Criteria
- Ages
- 7.00 Month(s) to 11.00 Month(s) (—)
- Sex
- All
Inclusion Criteria
- •Infants born ≥28 weeks of gestation
- •Inborn babies upto postnatal age 15 days
- •Mechanically ventilated for at least 12 hrs.
Exclusion Criteria
- •Infant born at less than 28 weeks of gestational age
- •Outborn babies
- •Major congenital anomalies or suspected chromosomal anomalies
- •Upper airway malformations
- •Severe perinatal asphyxia.
Outcomes
Primary Outcomes
Extubation failure within 72 hours
Time Frame: Extubation failure within 72 hours
Secondary Outcomes
- 1. Bronchopulmonary dysplasia (BPD)(2. Mortality (all causes within NICU stay/ upto 28)
Investigators
Sk samim
IPGMER & SSKM HOSPITAL