Non-Invasive Neurally Adjusted Ventilatory Assist (NAVA) Prone vs Supine in Premature Infants

NCT ID: NCT05968586

Last Updated: 2025-01-29

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

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-11

Study Completion Date

2024-12-31

Brief Summary

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This research study is being done to investigate the effect of changing an infant's body position on how hard the baby works to breathe, the baby's oxygen level, the baby's carbon dioxide level, the baby's lung volume, the baby's lung compliance (ability of the lung to expand and fill with air), and how frequently the baby develops clinically significant events such as apnea (baby stops breathing on his own), bradycardia (low heart rate), and desaturation (low oxygen) events.

Detailed Description

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Conditions

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Neonatal Oxygen Desaturation Premature Ventilator Lung; Newborn Apnea of Prematurity

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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Prone positioning

Group Type EXPERIMENTAL

Body positioning

Intervention Type OTHER

Body positioning of infants prone vs supine.

Supine positioning

Group Type ACTIVE_COMPARATOR

Body positioning

Intervention Type OTHER

Body positioning of infants prone vs supine.

Interventions

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Body positioning

Body positioning of infants prone vs supine.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Viable infants born at ≤32 weeks of gestation on non-invasive NAVA.
* Infant must be stable on NAVA for at least 24 hours prior to the study

Exclusion Criteria

* Infants with congenital heart disease (CHD)
* Infants with persistent pulmonary hypertension (PPHN)
* Infants with contraindications to using NAVA (e.g. neuromuscular blockage or paralysis, absent electrical signal from the diaphragm, esophageal tears or bleeding, cardiac pacemakers) or infants in whom an NG/OG catheter cannot be placed.
Minimum Eligible Age

1 Minute

Maximum Eligible Age

3 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Milton S. Hershey Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Nada Darwish

Neonatal-Perinatal Medicine Fellow

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kristin Glass, MD

Role: STUDY_DIRECTOR

Penn State College of Medicine

Locations

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Penn State Health Milton S Hershey Medical Center

Hershey, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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22600

Identifier Type: -

Identifier Source: org_study_id

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