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This work is designed to:
The studied population included 44 preterm infants. Anthropometric measurements, gestational age, sex, mode of delivery, maternal disease and Apgar score were found to be matched in the two studied groups indicating successful randomization as seen in these balanced demographic variables between the groups.
The studied population included 44 preterm infants. Then they were allocated randomly to one of 2 groups in order by admission:
Group A: included 22 patients on whom the recruitment maneuver was applied guided by lung ultrasonography.
Group B: included 22 patients on whom the recruitment maneuver was not ultrasound guided. This is considered the control group.
Anthropometric measurements, gestational age, sex, mode of delivery, maternal disease and Apgar score were found to be matched in the two studied groups indicating successful randomization as seen in these balanced demographic variables between the groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| US guided lung recruitment | Experimental | Group A: it included 22 patients on whom the recruitment manoeuvre was applied guided by lung ultrasonography. |
|
| Non US guided lung recruitment | Other | Group B: it included 22 patients on whom the recruitment maneuver was not ultrasound guided. This is considered the control group. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| lung recruitment maneuver | Other | Lung recruitment maneuver done for ventilated preterm neonates diagnosed with respiratory distress syndrome |
|
| Measure | Description | Time Frame |
|---|---|---|
| Lung ultrasound and diagnosis of respiratory distress syndrome | Forty four preterm neonates diagnosed with respiratoey distress syndrome had lung ultrasound assessment . Its grading was N=normal (presence of lung sliding with A lines or fewer than two isolated B lines) , B1=multiple well-defined B lines , B2=multiple coalescent B lines , C=Consolidation. | 1 year |
| Lung ultrasound and recruitment maneuver | An ultrasound re aeration score is calculated from changes in the ultrasound pattern of each region examined during the recruitment maneuver (N,B1,B2,C). | 1 year |
| Lung ultrasound guided recruitment maneuver and the period of oxygen dependency. | The relation between early lung recruitment maneuver guided by lung ultrasound and how many days requiring oxygen therapy in the NICU . | 1 year |
| Lung ultrasound guided recruitment maneuver and the total number of NICU admission days. | The relation between early lung recruitment maneuver guided by lung ultrasound and how many days requiring admission in the NICU . | 1 year |
| Lung ultrasound guided recruitment maneuver and its relation to lung inflammation | Tracheal aspirate IL-6 is measured initially before recruitment maneuver, and on the third day if still ventilated ,or before extubation if done earlier than the third day. | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
excluded:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams Univeristy | Cairo | 11517 | Egypt |
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The study was conducted on 44 preterm neonates who were mechanically ventilated for respiratory distress syndrome (RDS). Then they were allocated randomly to one of 2 groups in order by admission:
Group A: it included 22 patients on whom the recruitment manoeuvre was applied guided by lung ultrasonography.
Group B: it included 22 patients on whom the recruitment maneuver was not ultrasound guided. This is considered the control group.
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| tracheal IL-6 level | Other | tracheal IL-6 level was measured before and after recruitment maneuver |
|
| US guided lung recruitment maneuver | Other | Lung recruitment maneuver done for ventilated preterm neonates diagnosed with respiratory distress syndrome guided by lung ultrasound |
|
| ID | Term |
|---|---|
| D012127 | Respiratory Distress Syndrome, Newborn |
| ID | Term |
|---|---|
| D012128 | Respiratory Distress Syndrome |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
| D007235 | Infant, Premature, Diseases |
| D007232 | Infant, Newborn, Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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