Non-inflatable Supraglottic Airway (NI-SGA) vs. Face Mask (FM) as a Primary Interface Device for Neonatal Resuscitation
2018年5月3日 更新者：University of Oklahoma
Non-inflatable Supraglottic Airway (NI-SGA) vs. Face Mask (FM) as a Primary Interface Device for Neonatal Resuscitation: A Pilot Study
Prospective, randomized controlled trial to be performed at one center, of term and late preterm infants requiring resuscitation.
Prenatal consent will be obtained.
At randomization, babies will be resuscitated following Neonatal Resuscitation Program (NRP) guidelines and ventilated using the T-piece resuscitator with either a Face Mask (FM) or Non-inflating supraglottic airway.
Video will be collected during resuscitation as well as written documentation.
Primary outcome will be time to spontaneous breathing, length of resuscitation, and need for endotracheal intubation.
調査の概要
状態
引きこもった
条件
詳細な説明
Mothers who are close to delivery of a term or near term infant with estimated fetal weight of 2500gms will be approached for consent to randomize their infant to resuscitation with mask or non-inflatable supraglottic airway (NISGA) if resuscitation is required.
Study personnel in delivery will open sequential envelopes with randomized code to indicate which device is to be used if necessary.
The resuscitator will be blinded until determination of need of respiratory support.
At that time, the appropriate randomized device (face mask or NISGA) will be handed to the resuscitator for use along with T-Piece resuscitator.
Video data capture will be used to record type, length and response to resuscitation.
This information will be translated to a database prior to destruction of video.
研究の種類
介入
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
-
-
Oklahoma
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Oklahoma City、Oklahoma、アメリカ、73117
- University of Oklahoma Health Sciences Center
-
-
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
30分歳未満 (子)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- Newborns > or = 2000gms requiring positive pressure ventilation within the first 2 minutes of life
Exclusion Criteria:
- Newborns with expected fetal weight <2000 grams
- Known congenital malformations
- Multiple gestation (twins and above)
- History of meconium stained fluid
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
アクティブコンパレータ：Face Mask
Standard Face Mask with T piece resuscitator for neonatal resuscitation.
Face mask placement per Neonatal Resuscitation Program resuscitation guideline.
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at delivery - standard airway management per Neonatal Resuscitation Program utilizing face mask.
T-Piece Resuscitator for providing postivie pressure ventilation via face mask or non-inflatable supraglottic airway
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アクティブコンパレータ：Non-inflatable supraglottic airway
Use of non-inflating supraglottic airway with T-piece resuscitator instead of Standard Face Mask with T piece resuscitator for neonatal resuscitation, replacing standard of care face mask in Neonatal Resuscitation Program guideline.
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T-Piece Resuscitator for providing postivie pressure ventilation via face mask or non-inflatable supraglottic airway
at delivery if resuscitation is required infant randomized to NI-SGA or face mask as the interface for positive pressure ventilation.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Time to Spontaneous Breathing
時間枠：30 minutes
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Record of time from beginning of resuscitation to time of spontaneous breathing
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30 minutes
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Duration of Positive Pressure Ventilation
時間枠：30 minutes
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Total time of positive pressure ventilation required to adequate spontaneous breathing.
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30 minutes
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Need for subsequent endotracheal intubation
時間枠：30 minutes
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Failure of non-invasive resuscitative efforts by face mask or NI-SGA requiring intubation per NRP guideline.
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30 minutes
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Time needed for NI-SGA placement
時間枠：1 minute
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Time needed adequate placement of non-inflatable supraglottic airway
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1 minute
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Need for drugs in resuscitation
時間枠：30 minutes
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Drug administration as part of the standard neonatal resuscitation per NRP
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30 minutes
|
|
Use of Chest Compressions
時間枠：30 minutes
|
Need for chest compressions as part of neonatal resuscitation per NRP guidelines
|
30 minutes
|
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Use of oxygen
時間枠：30 minutes
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Amount and duration of oxygen use in resuscitation
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30 minutes
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Rate of complications associated with resuscitation
時間枠：30 minutes
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Presence of complications including bleeding, abdominal distension, laryngeal stridor
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30 minutes
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Heart rate 2 minutes after initiation of resuscitation
時間枠：2 minutes
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Heart rate assessed at 2 minutes
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2 minutes
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Maximum inspiratory pressure
時間枠：30 minutes
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Record of highest peak inspiratory pressure used in resuscitation
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30 minutes
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
捜査官
- 主任研究者：Arlen Foulks, DO、University of Oklahoma
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
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研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (予想される)
2018年4月15日
一次修了 (予想される)
2018年4月15日
研究の完了 (予想される)
2018年4月15日
試験登録日
最初に提出
2015年12月10日
QC基準を満たした最初の提出物
2015年12月10日
最初の投稿 (見積もり)
2015年12月14日
学習記録の更新
投稿された最後の更新 (実際)
2018年5月9日
QC基準を満たした最後の更新が送信されました
2018年5月3日
最終確認日
2018年5月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。