Non-inflatable Supraglottic Airway (NI-SGA) vs. Face Mask (FM) as a Primary Interface Device for Neonatal Resuscitation

NCT ID: NCT02629887

Last Updated: 2018-05-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-15

Study Completion Date

2018-04-15

Brief Summary

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Prospective, randomized controlled trial to be performed at one center, of term and late preterm infants requiring resuscitation. Prenatal consent will be obtained. At randomization, babies will be resuscitated following Neonatal Resuscitation Program (NRP) guidelines and ventilated using the T-piece resuscitator with either a Face Mask (FM) or Non-inflating supraglottic airway. Video will be collected during resuscitation as well as written documentation. Primary outcome will be time to spontaneous breathing, length of resuscitation, and need for endotracheal intubation.

Detailed Description

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Mothers who are close to delivery of a term or near term infant with estimated fetal weight of 2500gms will be approached for consent to randomize their infant to resuscitation with mask or non-inflatable supraglottic airway (NISGA) if resuscitation is required. Study personnel in delivery will open sequential envelopes with randomized code to indicate which device is to be used if necessary. The resuscitator will be blinded until determination of need of respiratory support. At that time, the appropriate randomized device (face mask or NISGA) will be handed to the resuscitator for use along with T-Piece resuscitator. Video data capture will be used to record type, length and response to resuscitation. This information will be translated to a database prior to destruction of video.

Conditions

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Neonatal Resuscitation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Face Mask

Standard Face Mask with T piece resuscitator for neonatal resuscitation. Face mask placement per Neonatal Resuscitation Program resuscitation guideline.

Group Type ACTIVE_COMPARATOR

Face Mask

Intervention Type DEVICE

at delivery - standard airway management per Neonatal Resuscitation Program utilizing face mask.

T-Piece Resuscitator

Intervention Type DEVICE

T-Piece Resuscitator for providing postivie pressure ventilation via face mask or non-inflatable supraglottic airway

Non-inflatable supraglottic airway

Use of non-inflating supraglottic airway with T-piece resuscitator instead of Standard Face Mask with T piece resuscitator for neonatal resuscitation, replacing standard of care face mask in Neonatal Resuscitation Program guideline.

Group Type ACTIVE_COMPARATOR

Non-inflatable supraglottic airway

Intervention Type DEVICE

at delivery if resuscitation is required infant randomized to NI-SGA or face mask as the interface for positive pressure ventilation.

T-Piece Resuscitator

Intervention Type DEVICE

T-Piece Resuscitator for providing postivie pressure ventilation via face mask or non-inflatable supraglottic airway

Interventions

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Non-inflatable supraglottic airway

at delivery if resuscitation is required infant randomized to NI-SGA or face mask as the interface for positive pressure ventilation.

Intervention Type DEVICE

Face Mask

at delivery - standard airway management per Neonatal Resuscitation Program utilizing face mask.

Intervention Type DEVICE

T-Piece Resuscitator

T-Piece Resuscitator for providing postivie pressure ventilation via face mask or non-inflatable supraglottic airway

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Newborns \> or = 2000gms requiring positive pressure ventilation within the first 2 minutes of life

Exclusion Criteria

* Newborns with expected fetal weight \<2000 grams
* Known congenital malformations
* Multiple gestation (twins and above)
* History of meconium stained fluid
Maximum Eligible Age

30 Minutes

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Oklahoma

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Arlen Foulks, DO

Role: PRINCIPAL_INVESTIGATOR

University of Oklahoma

Locations

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University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status

Countries

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United States

References

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Other Identifiers

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5848

Identifier Type: -

Identifier Source: org_study_id

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