Providing Oxygen During Intubation in the NICU Trial
NCT05451953 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 110
Last updated 2025-06-18
Summary
Tracheal intubation in the NICU is frequently complicated by severe oxygen desaturation. Apneic oxygenation, a method of applying free flowing oxygen via nasal cannula to apneic patients undergoing intubation, prevents or delays oxygen desaturation during intubation in adults and older children. We propose to enroll patients at two sites (Hospital of the University of Pennsylvania and Children's Hospital of Philadelphia) in a randomized trial in infants undergoing intubation in the NICU to determine if apneic oxygenation, compared with no respiratory support or oxygen during laryngoscopy and intubation attempts (standard care), reduces the magnitude of oxygen desaturation during tracheal intubation encounters.
Conditions
- Neonatal Respiratory Failure
- Tracheal Intubation Morbidity
Interventions
- PROCEDURE
-
Apneic Oxygenation
Nasal cannula at a rate of 6L/min with 100% FiO2 during laryngoscopy and intubation attempt(s)
- PROCEDURE
-
Standard of Care
No respiratory support during laryngoscopy and intubation attempt(s) (current standard of care)
Sponsors & Collaborators
-
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
collaborator NIH -
Children's Hospital of Philadelphia
collaborator OTHER - lead OTHER
Principal Investigators
-
Elizabeth Foglia, MD, MSCE · University of Pennsylvania
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 0 Days
- Max Age
- 365 Days
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-07-20
- Primary Completion
- 2026-12-31
- Completion
- 2027-02-28
Countries
- United States
Study Locations
More Related Trials
-
Cardiorespiratory Effects of Nasal High Frequency Ventilation in Neonates
NCT05706428 ·Status: COMPLETED ·Phase: NA
-
Integrated Prediction of Extubation Outcome by the Spontaneous Breathing Trial in Newborn Infants
NCT03956511 ·Status: COMPLETED
-
Randomized Trial of Nasal Continuous Positive Airway Pressure or Synchronized Nasal Ventilation in Premature Infants.
NCT00188968 ·Status: COMPLETED ·Phase: PHASE3
-
Sustained Aeration of Infant Lungs Trial
NCT02139800 ·Status: COMPLETED ·Phase: NA
-
Delivery Room CPAP in Extremely Low Birth Weight Infants
NCT01223274 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Pulse Oximetry Measurement and Transfusions
NCT04249193 ·Status: COMPLETED
-
Surfactant Positive Airway Pressure and Pulse Oximetry Trial
NCT00233324 ·Status: COMPLETED ·Phase: PHASE3
-
Delayed Cord Clamping With Oxygen In Extremely Low Gestation Infants
NCT04413097 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Effects of Flow Magnitude on Cardiorespiratory Stability During Nasal High Flow Therapy in Preterm Infants
NCT05908227 ·Status: RECRUITING ·Phase: NA
-
Utility of Spontaneous Breathing Trial (SBT) Using ET-CPAP, in Predicting Extubation Failure in Neonates
NCT03091387 ·Status: UNKNOWN
-
HFNC vs NIPPV Following Extubation
NCT05869825 ·Status: RECRUITING ·Phase: NA
-
Optimizing Tracheal Intubation Outcomes and Neonatal Safety
NCT05838690 ·Status: RECRUITING ·Phase: NA
-
Resuscitation of Late-preterm Infants by Using Room Air or 100% Oxygen
NCT01305031 ·Status: COMPLETED ·Phase: NA
-
Infant Pulmonary Mechanics: High Flow Nasal Cannula Versus Nasal CPAP
NCT01939067 ·Status: WITHDRAWN ·Phase: PHASE1
-
Nasal High Frequency Oscillatory Versus Nasal Intermittent Positive Pressure Ventilation in Neonate After Extubation
NCT02543125 ·Status: UNKNOWN ·Phase: NA
-
Nasal Intermittent Positive Pressure Ventilation During Neonatal Intubation
NCT06549283 ·Status: COMPLETED ·Phase: NA
-
Arterial Oxygen Saturation on Ventilatory Stability in Extremely Premature Infants
NCT03695900 ·Status: COMPLETED ·Phase: NA
-
Study of Nasal Ventilation In Preterm Infants To Decrease Time on The Respirator
NCT01440647 ·Status: COMPLETED ·Phase: NA
-
Prophylactic Continuous Positive Airway Pressure (CPAP) in Delivery Room, in the Prevention of Transient Tachypnea of Newborn (TTN): A Randomized Controlled Trial
NCT01082900 ·Status: COMPLETED ·Phase: NA
-
Cardiorespiratory Effects of "Higher" Versus "Equivalent" CPAP Upon Extubation From High EAP in Preterm Infants
NCT02528851 ·Status: UNKNOWN ·Phase: NA
-
Short Term Effects of Synchronized vs. Non-synchronized NIPPV in Preterm Infants.
NCT03289936 ·Status: RECRUITING ·Phase: NA
-
Targeting Normoxia in Neonates With Cyanotic Congenital Heart Disease in the Intra-operative and Immediate Post-operative Period
NCT04452188 ·Status: COMPLETED ·Phase: NA
-
Flow-cycled Ventilation in Preterm Infants
NCT02522455 ·Status: COMPLETED ·Phase: NA
-
PEEP and V/Q Mismatch in Premature Infants
NCT03109613 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Fluid Restriction in Respiratory Distress of the Newborn
NCT03120585 ·Status: COMPLETED ·Phase: NA