Overview
Feasibility study of a simplified respiratory support system for newborn infants
Description
The study is a "proof-of-concept" feasibility trial that evaluates usage of a simplified respiratory support system for newborn infants. The study aims to evaluate both the feasibility of providing uninterrupted support for the first hours of life as well as a modified respiratory support system.
The system is a modified version of the commercially available rPAP system. The revised design has a simplified gas supply and allows elimination of a complicated driver. The new system has low resistance to breathing equal to the rPAP system. The study will recruit 40-60 infants in a single centre without a comparison arm.
The trial is conducted as a first step towards a large randomised trial.
Eligibility
Inclusion Criteria:
- Vaginal delivery at gestational age between 28+0 and 34+6
- Caesarean section at gestational age between 28+0 and 37+6
- Infants in need of respiratory support in delivery-room
Exclusion Criteria:
- Carciac malformations
- Airway malformations
- Known syndromes or neuromuscular disorders
- Transfer to other hospital within 4 hours likely