NHFOV Vs NIPPV Post-extubation in Preterm Neonates
NCT06620107 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 80
Last updated 2024-10-24
Summary
comparison between Noninvasive Intermittent Positive Pressure Ventilation (NIPPV) and Noninvasive High Frequency Oscillation Ventilation (NHFOV) post-extubation in preterm neonates as regards the efficacy and their possible complications.
Conditions
- Noninvasive Ventilation
Interventions
- DEVICE
-
noninvasive high frequency oscillation ventilation
cases of group A extubated on NHFOV, and it will be provided by CNO, Medin device, Germany) via binasal prongs with the following parameters: * MAP of 6 cmH2O and will be titrated targeting a FiO2 ≤ 25-30%, maximum FiO2 will be 40% and target oxygen saturation will be 90-95%. * Frequency of 8 Hz and can be changed within the range of 8-12 Hz. * Amplitude of 7 cmH2O and can be titrated within the range of 7-10 cmH2O according to PaCO2.
- DEVICE
-
noninvasive positive pressure ventilation
NIPPV will be provided by any type of neonatal ventilator available in the unit via binasal prongs starting with the following parameters: * Positive end expiratory pressure (PEEP) of 5 cmH2O and can be titrated to 8 cmH2O according to the oxygenation . * Peak inspiratory pressure (PIP) of 15 cmH2O and can be titrated to 25 cmH2O ,according to oxygenation , PaCO2 level and the chest expansion . * FiO2 ≤ 25-30% and can be increased to 40 % maximally targeting oxygen saturation of 90-95% . * Inspiratory time of 0.40-0.50 s . * Rate of 30 bpm and can be increased to maximum 50 bpm . * Synchronization will not be applied.
Sponsors & Collaborators
-
Kafrelsheikh University
lead OTHER
Principal Investigators
-
Heba SM El-Mahdy · Tanta University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-01-20
- Primary Completion
- 2024-01-20
- Completion
- 2024-01-20
Countries
- Egypt
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