Randomized Crossover of NAVA and Synchronized Intermittent Pressure Ventilation in Neonates and Infants
NCT02518230 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 22
Last updated 2021-07-23
Summary
This study is a single center, prospective cohort crossover study comparing mechanically ventilated neonates and infants on Neurally Adjusted Ventilatory Assist (NAVA) and synchronized intermittent mandatory ventilation with pressure control plus pressure support (SIMV(PC) + PS) modes.
This design will allow for direct comparison of two commonly used ventilator modalities in the neonatal intensive care unit (NICU) to determine if one mode is superior to the other with regards to respiratory mechanics and estimated energy expenditure.
It is hypothesized that neonates and infants will have improved respiratory severity score (MAP X FiO2) utilizing NAVA compared to the SIMV (PC) + PS mode but will have increased estimated energy expenditure.
Conditions
- Respiratory Insufficiency
- Infant, Newborn, Disease
Interventions
- DEVICE
-
Neurally Adjusted Ventilatory Assist
The subject will be crossed over from the baseline ventilator mode to Neurally Adjusted Ventilatory Assist
- DEVICE
-
Synchronized Interm. Mandatory Assist
The subject will be crossed over from the baseline ventilator mode to Synchronized Intermittent Mandatory Assist with Pressure Support
Sponsors & Collaborators
-
Children's Mercy Hospital Kansas City
lead OTHER
Principal Investigators
-
Jamie L Rosterman, DO · Children's Mercy Hospital Kansas City
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Max Age
- 24 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-01-31
- Primary Completion
- 2015-06-30
- Completion
- 2015-06-30
Countries
- United States
Study Locations
More Related Trials
-
Impact of PAV Versus NAVA on Patient-Ventilator Synchrony and Respiratory Muscle Unloading
NCT01810510 ·Status: WITHDRAWN ·Phase: NA
-
Effect of Nava on Weaning Outcome in Patients With Mechanical Ventilation
NCT05219643 ·Status: COMPLETED ·Phase: NA
-
The Use of Neurally Adjusted Ventilatory Assist (NAVA) Versus Pressure Support During Asynchrony in Children
NCT01159106 ·Status: UNKNOWN ·Phase: NA
-
Neurally Adjusted Ventilatory Assist (NAVA) in NonInvasive Ventilation (NIV)
NCT01426178 ·Status: COMPLETED ·Phase: PHASE1
-
Conventional vs Neurally Adjusted Ventilatory Assist in Difficult Weaning From Mechanical Ventilation
NCT02382861 ·Status: COMPLETED ·Phase: NA
-
Neurally Adjusted Ventilatory Assist (NAVA) in Pediatric Patients
NCT01056939 ·Status: COMPLETED ·Phase: NA
-
Comparison of Proportional Assist Ventilation And Neurally Adjusted Ventilator Assist
NCT02056093 ·Status: UNKNOWN ·Phase: NA
-
NAVA vs PSV Ventilation During Weaning From Mechanical Ventilation in Children After Liver Transplantation
NCT04792788 ·Status: UNKNOWN ·Phase: NA
-
Regional Distribution Differences Between Neurally Adjusted Ventilatory Assist and Pressure Support Ventilation
NCT01504373 ·Status: COMPLETED
-
Estimation of the Diaphragm Electrical Activity and Intercostal Thickening Fraction During Different Pattern of Mechanical Ventilation: PSV Versus NAVA
NCT05990348 ·Status: RECRUITING
-
Comparison of Pressure-, Flow- and Neurally Adjusted Ventilatory Assistance (NAVA)-Triggering in Pediatric and Neonatal Ventilatory Care
NCT00893087 ·Status: COMPLETED ·Phase: NA
-
"NAVA-PAV" Study: a Cross-over Comparative Study of 2 Advanced Modes
NCT01607723 ·Status: COMPLETED ·Phase: PHASE3
-
Application of Neurally Adjusted Ventilatory Assist to Children After Congenital Cardiac Surgery
NCT01662011 ·Status: UNKNOWN ·Phase: PHASE3
-
NIV-NAVA vs NIV-PS/PC in Respiratory Insufficiency
NCT02592512 ·Status: COMPLETED
-
Neurally Adjusted Ventilatory Assist (NAVA) Study in Adults With Acute Respiratory Failure
NCT01730794 ·Status: COMPLETED ·Phase: NA
-
NAVASET: Nava Level Titration Using Comfort Scales
NCT02133443 ·Status: UNKNOWN ·Phase: NA
-
Adjusted Ventilatory Assist (NAVA-NIV) in Infants: Short-term Physiological Study
NCT02043990 ·Status: UNKNOWN ·Phase: NA
-
Effect of NAVA on Weaning Duration in Difficult to Wean Patients
NCT01280773 ·Status: COMPLETED ·Phase: NA
-
Ventilatory Parameters and Inflammatory Responses of Neonates Ventilated by Different Modes of Ventilation
NCT01514331 ·Status: COMPLETED ·Phase: NA
-
Neurally Adjusted Ventilatory Assist for Non Invasive Ventilation and Patient-ventilator Interaction
NCT01074866 ·Status: COMPLETED ·Phase: NA
-
Impact of Neurally Adjusted Ventilator Assist (NAVA) Mode on Patient Ventilator Asynchrony Using Non-invasive Ventilation (NAVA-NIV)
NCT01280760 ·Status: COMPLETED
-
Non-invasive Neurally Adjusted Ventilatory Assist
NCT01280383 ·Status: WITHDRAWN ·Phase: PHASE1
-
Impact of the Assisted Ventilation Mode on Diaphragm Efficiency in Critically Ill Patients
NCT02473172 ·Status: COMPLETED ·Phase: PHASE2
-
To Identify the Proportionality of Respiratory Work Under Different NAVA Level
NCT01663480 ·Status: COMPLETED
-
Study Comparing Two Ventilation Modes NAVA (Neurally Adjusted Ventilatory Assist) Mode and Spontaneous Breathing With Inspiratory Pressure Support (IPS) Mode in Consecutive Patients Hospitalized for Acute Respiratory Failure Requiring Mechanical Ventilation With Endotracheal Tube.
NCT02018666 ·Status: COMPLETED ·Phase: NA