Utility of Spontaneous Breathing Trial (SBT) Using ET-CPAP, in Predicting Extubation Failure in Neonates

NCT03091387 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 110

Last updated 2017-03-27

No results posted yet for this study

Summary

Intubation and ventilation are lifesaving interventions in the neonatal intensive care unit (ICU), especially among preterm, low birth weight babies. However, timely extubation is also necessary. The decision to extubate usually depends on clinical judgement, appropriate blood gas prior to extubation and low ventilator parameters. Approximately 40 % of babies' extubated on the above criteria require re-intubation, suggesting that current methods to predict extubation failure are insufficient. . Spontaneous breathing trial (SBT) has been predominantly used in infants and children to access the readiness for extubation. Few studies in premature neonates have also shown good sensitivity and specificity in predicting extubation success. However its significance in our population is yet to be determined. We aim to use this for both our preterm and term babies and if results are significant we plan to include this as our routine pre extubation criteria.

Conditions

  • Neonates

Interventions

DIAGNOSTIC_TEST

Spontaneous Breathing Test

subjects when ready for extubation will be given a three minute spontaneous breathing test on ET-Cpap mode of the ventilator

Sponsors & Collaborators

  • Aga Khan University

    lead OTHER

Principal Investigators

  • Ali S. Hussain, MBBS,FCPS · Aga Khan University

Eligibility

Min Age
1 Day
Max Age
3 Months
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2017-04-30
Primary Completion
2018-04-30
Completion
2018-07-31

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Read the full study record

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View NCT03091387 on ClinicalTrials.gov