Status:

NOT_YET_RECRUITING

Post-extubation Pressures in Preterm Neonates: A CER Study

Lead Sponsor:

McMaster Children's Hospital

Collaborating Sponsors:

McMaster University

Canadian Institutes of Health Research (CIHR)

Conditions:

Respiratory Distress Syndrome

Bronchopulmonary Dysplasia

Eligibility:

All Genders

Brief Summary

The optimal post-extubation pressure level on non-invasive respiratory support modes - irrespective of the choice of the specific non-invasive mode - that optimizes extubation success and improves cli...

Detailed Description

BACKGROUND Invasive mechanical ventilation (IMV) is a well-established risk factor for bronchopulmonary dysplasia and associated long-term complications. In recent years, a large body of research has ...

Eligibility Criteria

Inclusion

  • Preterm neonates GA \<28 weeks' gestation, admitted to a participating centre who received any duration of mechanical ventilation.

Exclusion

  • Major chromosomal/genetic/congenital abnormalities
  • Never received invasive mechanical ventilation (IMV)
  • Received IMV, but never extubated to non-invasive respiratory support (NRS)
  • Transferred to non-participating site while intubated
  • Death prior to extubation
  • Initial extubation was for withdrawal of care
  • Lack of any eligible extubation, eligible defined as ALL of the following: (i) ≥36 continuous hours on IMV; (ii) pre-extubation MAP ≤13 cmH2O; and (iii) on post-extubation NRS for ≥1 hour.

Key Trial Info

Start Date :

November 1 2024

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

December 31 2028

Estimated Enrollment :

1050 Patients enrolled

Trial Details

Trial ID

NCT06552455

Start Date

November 1 2024

End Date

December 31 2028

Last Update

August 14 2024

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