- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01664832
Is Synchronization More Effective During Noninvasive Ventilation in Immediately Extubated Preterm Infants? (N_SIMV)
The purpose of this study is the examination of the hypothesis that synchronized nasal IMV as compared to non-synchronized nasal IMV will decrease breathing effort in preterm infants immediately after extubation when recovering from Respiratory distress syndrome (RDS).
Another objective is to examine the effects for synchronized non-invasive mechanical ventilation on gas exchange and cerebral oxygen saturation.
Study Overview
Detailed Description
In this study the investigators plan to test the hypothesis that synchronized nasal IMV (S-NIMV) as compared to non-synchronized nasal IMV (NIMV) will decrease breathing effort in preterm infants immediately after extubation when recovery from RDS, as measured by phasic esophageal pressure deflection.
Furthermore, the investigators plan to evaluate the effects of synchronized NIMV on gas exchange and brain oxygenation, and to evaluate the reliability of a newly developed abdominal pressure sensor device for the S-NIMV mode in a newly designed commercially available ventilator device.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Helmut Hummle, Prof. Dr.
- Phone Number: 0731-500-57168
- Email: helmut.hummler@uniklinik-ulm.de
Study Contact Backup
- Name: Li Huang, Master
- Phone Number: 015776891592
- Email: hhuangli@hotmail.com
Study Locations
-
-
Baden-Wüttemberg
-
Ulm, Baden-Wüttemberg, Germany, 89075
- Recruiting
- Children's Hospital University of Ulm
-
Principal Investigator:
- Helmut Hummler, Prof. Dr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Preterm infants recovering from respiratory failure with the following criteria were eligible for this study.
- Gestational age <32 wks, those who are on invasive mechanical ventilation, recovering from RDS, and ready for extubation as judged by the clinical team.
- Informed consent available.
Exclusion Criteria:
• Infants with major congenital anomalies involving the CNS, lung (i.e. lung hypoplasia, active air leaks) or the heart (ASD, VSD allowed), or known neuromuscular disease.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: S-nIMV
nIMV synchronized using abdominal pressure capsule sensor device
|
Synchronization of nasal breaths to infant's own respiratory effort
|
Placebo Comparator: nIMV
non-synchronized nasal intermittent mandatory ventilation group
|
Synchronization of nasal breaths to infant's own respiratory effort
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
phasic esophageal pressure deflection
Time Frame: 4 hours
|
4 hours
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Cerebral oxygen saturation
Time Frame: 4 hours
|
4 hours
|
Arterial oxygen saturation
Time Frame: 4 hours
|
4 hours
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Hummler Helmut, Prof. Dr, University of Ulm
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ULMN_SIMV
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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