Status:

COMPLETED

Positive End Expiratory Pressure With A T-piece Resuscitator For Near-Term and Term Infants With Respiratory Distress

Lead Sponsor:

Ain Shams University

Conditions:

Transient Tachypnea of the Newborn

Eligibility:

All Genders

Up to 2 years

Phase:

PHASE2

Brief Summary

Evaluating the effect of early application of Continuous positive airway pressure (CPAP) via Neopuff in cases of transient tachypnea of the newborn(TTN) and its role in decreasing the duration and com...

Detailed Description

The aim of the study is to determine whether positive end expiratory pressure therapy (PEEP) administered early via a T piece based infant resuscitator (Neopuff) would safely reduce the incidence of T...

Eligibility Criteria

Inclusion

  • Near term infants (36-37 weeks gestational age) and Full term infants (38-41 weeks gestational age).
  • Presence of signs of respiratory distress (Tachypnea, intercostal and subcostal retractions, nasal flaring and grunting) evident shortly after birth.
  • Cesarean section (CS) was defined as elective when surgery was performed before the onset of labor, with all other cases defined as secondary CS.

Exclusion

  • Presence of any of the risk factors for neonatal sepsis such as Prolonged Rupture of Membranes for ≥48 hours (PROM), maternal fever, maternal chorioamnionitis or positive maternal GBS colonization.
  • Presence of any other cause of respiratory distress, eg.
  • congenital malformations affecting the cardiorespiratory system ,
  • chromosomal aberrations,
  • depression at birth (Apgar score at 5 minutes of \< 7 or umbilical artery pH of \< 7.10),
  • fetal hydrops,
  • persistent pulmonary hypertension,
  • and meconium aspiration syndrome.

Key Trial Info

Start Date :

November 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2013

Estimated Enrollment :

64 Patients enrolled

Trial Details

Trial ID

NCT01859533

Start Date

November 1 2011

End Date

May 1 2013

Last Update

May 22 2013

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