CPAP vs.Unsynchronized NIPPV at Equal Mean Airway Pressure
NCT03670732 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 52
Last updated 2024-07-30
Summary
This study seeks to determine if standard continuous positive airway pressure, known as CPAP is as effective as a more complicated approach that generates intermittent increases in airway pressure applied to the nostrils via a breathing machine. The latter is known as NIPPV and requires costly equipment to operate. Previous studies did not ensure that the average pressure applied to the lungs was equal and thus did not make for a fair comparison. The investigators believe that when the same average pressure is applied with the two techniques, CPAP is just as effective as NIPPV and may have fewer side effects, such as blowing air into the stomach. Each baby will receive CPAP or NIPPV in a random sequence for a period of 12 hours, followed by 12 hours on the alternate technique.
Conditions
- Prematurity
- Respiratory Distress Syndrome
- Apnea of Prematurity
Interventions
- OTHER
-
continuous positive airway pressure
Continuous positive airway pressure is applied for 12 hours at a mean airway pressure that is the same as the subject was receiving prior to entry into the study
- OTHER
-
nasal intermittent positive pressure ventilation
NIPPV is applied for 12 hours at a mean airway pressure that is the same as the subject was receiving prior to entry into the study
Sponsors & Collaborators
-
Women and Infants Hospital of Rhode Island
lead OTHER
Principal Investigators
-
Martin Keszler, MD · Brown University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Max Age
- 6 Months
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-09-30
- Primary Completion
- 2020-03-30
- Completion
- 2020-06-30
Countries
- United States
Study Locations
More Related Trials
-
Short Term Effects of Synchronized vs. Non-synchronized NIPPV in Preterm Infants.
NCT03289936 ·Status: RECRUITING ·Phase: NA
-
Effect of Nasal CPAP Versus NIPPV On Diaphragm Electrical Activity (Edi) In VLBW Preterm Infants
NCT06295484 ·Status: RECRUITING ·Phase: NA
-
Nasal Intermittent Positive Pressure Ventilation in Premature Infants (NIPPV)
NCT00433212 ·Status: COMPLETED ·Phase: PHASE3
-
Pulmonary Volume Changes During Synchonized Noninvasive Positive Pressure Ventilation
NCT07237139 ·Status: RECRUITING
-
Comparison of Continuous Positive Airway Pressure and Non Invasive Positive Pressure Ventilation
NCT03347136 ·Status: COMPLETED ·Phase: NA
-
Study of Nasal Ventilation In Preterm Infants To Decrease Time on The Respirator
NCT01440647 ·Status: COMPLETED ·Phase: NA
-
A Comparison of Non-invasive Ventilation Methods Used to Prevent Endotracheal Intubation Due to Apnea in Very Low Birth Weight Infants
NCT03298035 ·Status: COMPLETED ·Phase: NA
-
Level of Continuous Positive Airway Pressure (CPAP) in Preterm Infants After Extubation (L-CPAP Study)
NCT00636324 ·Status: TERMINATED ·Phase: PHASE2
-
Impact of Synchronized Nasal Intermittent Positive Pressure Ventilation Using NAVA in Preterm Infants With RDS
NCT02030652 ·Status: UNKNOWN ·Phase: NA
-
Randomized Trial of Nasal Continuous Positive Airway Pressure or Synchronized Nasal Ventilation in Premature Infants.
NCT00188968 ·Status: COMPLETED ·Phase: PHASE3
-
Comparing Bubble and Ventilator Nasal CPAP in Preterm Infants
NCT02003846 ·Status: COMPLETED
-
Non-invasive Neurally Adjusted Ventilator Assist or Continuous Positive Airway Pressure in Preterm Infants
NCT04333563 ·Status: COMPLETED ·Phase: NA
-
Comparing Weaning of Nasal Continuous Positive Airway Pressure (CPAP) From Preterm Infants
NCT02126501 ·Status: COMPLETED ·Phase: NA
-
A Comparison of Methods of Discontinuing Nasal CPAP in Premature Infants <30 Weeks Gestation
NCT03292562 ·Status: COMPLETED ·Phase: NA
-
Oscillatory Versus Non-oscillatory Nasal Continuous Airway Pressure Neonatal Respiratory Support
NCT03711565 ·Status: WITHDRAWN ·Phase: NA
-
PEEP and V/Q Mismatch in Premature Infants
NCT03109613 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Effect of Nasal Continuous Positive Airway Pressure (CPAP) on Oral Feeding in Human Neonates
NCT01237015 ·Status: UNKNOWN ·Phase: NA
-
Determining an Optimal Weaning Method of Nasal Continuous Positive Airway Pressure in Preterm Neonates
NCT02064712 ·Status: COMPLETED ·Phase: NA
-
CPAP vs NIPPV: A COMPARATIVE EFFECTIVENESS RESEARCH
NCT04075123 ·Status: COMPLETED
-
Nasal Intermittent Positive-Pressure Ventilation for Twin Infants With Respiratory Distress Syndrome
NCT01926106 ·Status: COMPLETED ·Phase: NA
-
Effect of Continuous Positive Airway Pressure Delivered by Two Different Modalities on Breathing Pattern in Preterm Infants
NCT01326975 ·Status: COMPLETED
-
Non-invasive Support in Extremely Preterm Infants
NCT02723123 ·Status: UNKNOWN ·Phase: NA
-
Nasal Intermittent Positive Pressure Ventilation In Newborn Infants With Respiratory Distress Syndrome
NCT00780624 ·Status: COMPLETED ·Phase: NA
-
Randomized Control Trial: Synchronized Non-invasive Positive Pressure Ventilation Versus Non Synchronized Non Invasive Positive Pressure Ventilation in Extremely Low Birth Weight Infants
NCT03613987 ·Status: COMPLETED ·Phase: NA
-
Nasal High-frequency Jet Ventilation (nHFJV) Following Extubation in Preterm Infants
NCT03558737 ·Status: TERMINATED ·Phase: NA