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| Name | Class |
|---|---|
| Sharp Mary Birch Hospital for Women & Newborns | OTHER |
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The goal of this study is to see if a new approach to breathing support ('Pressure Targeted High Flow') is as effective as standard of care ('Continuous Positive Airway Pressure') in prematurely born infants. It will also learn about the effect of these types of breathing support on infant comfort and impact on staffing. The main question it aims to answer is:
Does Pressure Targeted High Flow provide enough support in premature infants?
Participants will:
Take spend 24 hours supported by Pressure Targeted High Flow and 24 hours supported by CPAP. During this time their breathing rate, oxygen requirement and other markers of comfort will be monitored.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PTHF First | Other | PTHF prior to CPAP |
|
| CPAP First | Other | CPAP prior to PTHF |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pressure Targeted High Flow | Procedure | High Flow Nasal Cannula therapy with Pressure monitoring to match delivered CPAP pressure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Failure of Support | Failure of respiratory support as defined by increase in fraction of inspired oxygen (FiO2) of ≥0.10, a pH of ≤7.2 with a CO2 ≥60 mm Hg, an increase in transcutaneous CO2 of ≥15mmHg above baseline or ≥2 episodes of apnea requiring positive-pressure ventilation | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Oxygenation | ratio of mean SpO2 to FiO2 | 24 hours |
| Respiratory Rate | Mean respiratory rate | 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alan Groves | Contact | 512 324 1085 | alan.groves@austin.utexas.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sharp Mary Birch Hospital for Women & Newborns | San Diego | California | 92123 | United States |
Happy to share IPD if a need arises
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| ID | Term |
|---|---|
| D001261 | Pulmonary Atelectasis |
| D001997 | Bronchopulmonary Dysplasia |
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D055397 | Ventilator-Induced Lung Injury |
| D055370 | Lung Injury |
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| CPAP | Procedure | Standard of care CPAP therapy |
|
| Infant comfort - NIPE | Newborn Infant Parasympathetic Evaluation | 24 hours |
| Infant Comfort - Parent | Parental Questionnaire | 24 hours |
| Resource Use | Number of handling/repositioning episodes by nurse/respiratory therapist | 24 hours |
| Ascension Seton Medical Center | Austin | Texas | 78705 | United States |
|
| D007235 |
| Infant, Premature, Diseases |
| D007232 | Infant, Newborn, Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |