Non-invasive Neurally Adjusted Ventilator Assist or Continuous Positive Airway Pressure in Preterm Infants
NCT04333563 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2022-07-15
Summary
Strategies to prevent lung injury, facilitate lung development, and to support the preterm infant's capacity to breathe are decisive. Continuous positive airway pressure (CPAP) is the gold standard in non-invasive breathing support in preterm infants with a positive pressure that keeps the alveoli slightly inflated during expiration. Non-invasive neurally adjusted ventilator assist (NIV NAVA) is a novel method of breathing support and uses the electrical activity from the diaphragm to trigger the ventilator and synchronize with the breathing cycle. During NIV NAVA the preterm infant controls the onset of the inspiration, the respiratory rate, inspiratory time and peak pressure. This method has the potential to improve the positive pressure transmission to the infant's lower airways, accurate synchronization with the breathing pattern and be a comfortable breathing support system for the preterm infant.
The investigators will compare the effect on breathing effort in preterm infants during continuous positive airway pressure and non-invasive neurally adjusted ventilatory assist measured by electrical activity in the diaphragm, respiratory vital signs, systematic clinical scoring of breathing effort and comfort, and parent reported outcomes.
Conditions
- Premature Birth
- Respiratory Distress Syndrome, Newborn
Interventions
- DEVICE
-
CPAP
Continuous positive airway pressure
- DEVICE
-
NIV NAVA
Non-invasive neurally adjusted ventilatory assist
Sponsors & Collaborators
-
Norwegian University of Science and Technology
collaborator OTHER -
St. Olavs Hospital
lead OTHER
Principal Investigators
-
Elisabeth Selvaag, md · St Olavs Hospital, Barne- og ungdomsklinikk
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 24 Hours
- Max Age
- 96 Hours
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-04-14
- Primary Completion
- 2022-04-30
- Completion
- 2022-04-30
Countries
- Norway
Study Locations
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