Status:

COMPLETED

Effect of Changing Levels of Neurally Adjusted Ventilatory Assist (NAVA) in Newborns

Lead Sponsor:

Julie Lefevere

Conditions:

Newborn Morbidity

Eligibility:

All Genders

Up to 20 years

Phase:

NA

Brief Summary

To examine the effect of changing levels of support during NAVA-ventilation ("NAVA-level") on electrical diaphragm activity of the newborn on invasive or non-invasive NAVA ventilation. The aim is to ...

Eligibility Criteria

Inclusion

  • Newborns admitted to the NICU in need for respiratory support and put on invasive or non-invasive NAVA by the attending physician. Patients will be included when they are clinically stable and within 24h after starting NAVA or nivNAVA.

Exclusion

  • \- Congenital malformations of the diaphragm or respiratory system, including congenital diaphragmatic hernia.
  • Patients with abnormalities of the upper airway (e.g. vocal cord paralysis, post-extubation laryngeal edema, Pierre-Robin sequence…).
  • More than 20% of time spent in back-up ventilationWhen a patient on NAVA ventilation is apneic for a certain period of time (apnea time), the ventilator switches tot backup-ventilation. Backup-ventilation is pressure controlled, the apnea time can variate between 2 and 10 seconds.
  • Clinically unstable patients:
  • hemodynamic instability as defined by need of inotropic support or
  • rapid respiratory deterioration on NAVA ventilation.
  • No informed consent.

Key Trial Info

Start Date :

December 10 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 28 2022

Estimated Enrollment :

21 Patients enrolled

Trial Details

Trial ID

NCT03780842

Start Date

December 10 2018

End Date

February 28 2022

Last Update

September 13 2023

Active Locations (1)

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UZ Brussel

Jette, Belgium, 1090