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SpO2 instability is in the nature of premature infants. Hypoxic episodes occur spontaneously in many of these infants, especially after the first week of life. Different interventions have been shown to influence the incidence of hypoxemic episodes in premature infants. Premature infants are fed via an NG/OG tube. Feeding length might influence the oxygenation instability among premature infants therefore the aim of this study is to evaluate the changes in oxygenation among preterm infants receiving respiratory support when are fed over 30 min vs over 2 hours, as documented by SpO2 histograms.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bolus feeding | Experimental |
| |
| continuous gavage feeding | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Continuous gavage feeding | Procedure | Each subject will serve as his or her own control. In this arm infants will receive their feed over 2 hours and the next feed will be given over 30 min and then over 2 hours again. |
| Measure | Description | Time Frame |
|---|---|---|
| Oxygenation instability | SPO2 histogram documents the oxygenation stability. we will record the histogram at the end of each period of time and compare it | 9 hours (3 feeds) |
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Inclusion Criteria:
Premature Infants (GA<37weeks) on non-invasive respiratory support (CPAP, NIPPV, HFNC) Feeding>100 ml/kg/day
Exclusion Criteria:
Congenital anomalies e.g. gastroschesis, congenital diaphragmatic hernia, cyanotic heart disease.
Instability because of:
Acute lung pathology for example x-ray confirmed pneumonia, air leak Active culture proven sepsis Need for inotropic support for low blood pressure
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rambam Medical Center | Haifa | Israel |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| D012120 | Respiration Disorders |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| Bolus feeding | Procedure | Each subject will serve as his or her own control. In this arm infants will receive their feed over 30 min and the next feed will be given over 2 hours and then over 30 minutes again. |
|
| D000091642 | Urogenital Diseases |
| D012140 | Respiratory Tract Diseases |