Comparison of Methods of Weaning From Nasal CPAP in Preterm Infants: A Randomized Controlled Trial
NCT07009366 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 75
Last updated 2025-06-06
Summary
This study aimed to determine the efficacy of different NCPAP weaning strategies in pre-term infants presenting with respiratory distress, and ultimately establishing the best method to withdraw from NCPAP.
Conditions
- Respiratory Distress Syndrome, Newborn
Interventions
- PROCEDURE
-
Sudden weaning of NCPAP
NCPAP was taken "off" entirely when the neonate met the "stability criteria" and remained on oxygen or room air via a headbox or incubator with an aim to stay off NCPAP.
- PROCEDURE
-
Gradual weaning with increasing the time off NCPAP
The regimen adopted for this method was 1 hour off twice a day on the 1st day, then 2 hours off twice a day on the 2nd day, hence increasing the time off to 6 hours twice a day (or 12 hours per day), i.e., using a smaller period off. At this point, NCPAP was taken off completely.
- PROCEDURE
-
Pressure weaning of NCPAP
In this method the pressure was reduced in steps of 1 cm of H2O every 12 to 24 hours until 5 cm of H2O, and then if the child tolerated it well, NCPAP was removed, and the child was shifted to oxygen via incubator or room air according to the situation.
Sponsors & Collaborators
-
RESnTEC, Institute of Research
lead OTHER
Principal Investigators
-
Rabia Asif · Ziauddin University Karachi
-
Heena Rais, FCPS · Ziauddin University Karachi
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 1 Hour
- Max Age
- 24 Hours
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-07-01
- Primary Completion
- 2024-12-31
- Completion
- 2024-12-31
Countries
- Pakistan
Study Locations
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