Delivery Room CPAP in Extremely Low Birth Weight Infants



Status:Completed
Conditions:Bronchitis, Obesity Weight Loss, Women's Studies
Therapuetic Areas:Endocrinology, Pulmonary / Respiratory Diseases, Reproductive
Healthy:No
Age Range:Any
Updated:9/28/2017
Start Date:July 2002
End Date:January 2003

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Delivery Room Continuous Positive Airway Pressure/Positive End Expiratory Pressure (CPAP/PEEP) in Extremely Low Birth Weight (ELBW) Infants

This pilot study was designed to determine the feasibility of randomizing extremely low birth
weight (ELBW) infants <28 weeks' gestation who required resuscitation to one of two
resuscitation methods, either: (a) 100% oxygen by facemask and continuous positive airway
pressure (CPAP) or positive pressure ventilation (PPV) with positive end-expiratory pressure
(PEEP), if the infant required PPV (the intervention group); or (b) 100% oxygen and no CPAP
and no PEEP if the infant required PPV (the control group).

Previous studies suggested that early continuous airway positive pressure (CPAP) may be
beneficial in reducing ventilator dependence and subsequent bronchopulmonary dysplasia (BPD)
in extremely low birth weight (ELBW) infants. These studies did not test for the optimal
timing of CPAP initiation or compare CPAP/PEEP initiation in the delivery room against
standard resuscitation methods. Current practice at the time was for the ELBW infant to be
intubated early and administered prophylactic surfactant. The feasibility of initiating CPAP
in the DR and continuing this therapy without intubation for surfactant had not been
determined prospectively in a population of ELBW infants.

This pilot study was designed to determine the feasibility of randomizing extremely low birth
weight (ELBW) infants <28 weeks' gestation who required resuscitation to one of two
resuscitation methods, either: (a) 100% oxygen by facemask and continuous positive airway
pressure (CPAP) or positive pressure ventilation (PPV) with positive end-expiratory pressure
(PEEP), if the infant required PPV (the intervention group); or (b) 100% oxygen and no CPAP
and no PEEP if the infant required PPV (the control group).

Inclusion Criteria:

- Infants delivered in a specially equipped resuscitation room(s)

- <28 weeks gestational age by best obstetric estimate before delivery

- Requiring resuscitation

Exclusion Criteria:

- No known major congenital anomalies

- Decision made not to provide full resuscitation
We found this trial at
6
sites
Miami, Florida 33124
(305) 284-2211
University of Miami A private research university with more than 15,000 students from around the...
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1720 2nd Ave S
Birmingham, Alabama 35233
(205) 934-4011 
University of Alabama at Birmingham The University of Alabama at Birmingham (UAB) traces its roots...
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Birmingham, AL
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3040 East Cornwallis RoadTriangle
Durham, North Carolina 27705
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Durham, NC
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Cincinnati, Ohio 45267
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Cincinnati, OH
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Cleveland, OH
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San Diego, California 92093
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San Diego, CA
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