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| Name | Class |
|---|---|
| Medtronic | INDUSTRY |
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Premature infants are more likely to develop hypoxemia after birth often requiring invasive and Non-Invasive Mechanical ventilation and surfactant therapy to improve alveolar gas exchange and oxygen transport. Near-infrared spectroscopy (NIRS) has been used to detect pulmonary regional oxygen saturation (rpSO 2 ) as well as cerebral regional oxygen saturation (rcSO2 ) and evaluate the oxygenation state of the lung and brain. This is a prospective observational study to evaluate utility of rpSO2 and compare it with rcSO2 in preterm infants born between 23-32 weeks of gestation receiving noninvasive ventilation and surfactant treatment. Enrolled patients will be continuously studied with placement of NIRS monitor using cerebral sensor (INVOSâ„¢) for 6 hrs and 15 min before and after surfactant administration. Pulmonary regional oxygen saturation (rpSO2) with a sampling interval of 6 s will be followed for 6hrs.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neer Infrared Spectroscopy | Device | Premature infants will be studied with brain and lung NIRS before and after surfactant administration |
| Measure | Description | Time Frame |
|---|---|---|
| rpSO2 before and after surfactant therapy | brain and lung rpSO2 will be compared before and after surfactant administration | 6 hours |
| Measure | Description | Time Frame |
|---|---|---|
| variations on rpSO2 and rcSO2 during changes in ventilation modes | Will evaluate for variations with various ventilation modes | 6 hours |
| correlation between rpSO2L and SpO2/FiO2 ratio, a/APO2, and O.I |
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Inclusion Criteria:
Infants born between 23-32 weeks of gestation admitted to the Neonatal Intensive Care Unit with respiratory distress receiving non-invasive ventilation and requiring Surfactant Replacement Therapy.
Exclusion Criteria:
Neonates with no need for respiratory support/Surfactant. Neonates with congenital malformations.
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Inborn premature infants
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Manoj Biniwale, MD | Contact | 3234093406 | Biniwale@usc.edu | |
| Rangasamy Ramanathan, MD | Contact | 3234093406 | Ramanath@usc.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Los Angeles General Medical Center | Los Angeles | California | 90033 | United States |
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| ID | Term |
|---|---|
| D012127 | Respiratory Distress Syndrome, Newborn |
| ID | Term |
|---|---|
| D012128 | Respiratory Distress Syndrome |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D012120 | Respiration Disorders |
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Correlation will be assessed between rpSO2 and other ratios
| 6 hours |
| D007235 | Infant, Premature, Diseases |
| D007232 | Infant, Newborn, Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |