Positioning and the Spontaneous Breathing Test in Neonates

N/AWithdrawnNCT01953562

Christiana Care Health Services

Overview

The spontaneous breathing test (SBT) is routinely performed on all intubated patients in the NICU who are potential candidates for extubation from mechanical ventilatory support. For all parents who consent, the routine SBT will be performed on all infants. In addition to the routine SBT the following will occur: 1. work of breathing indices: obtained non-invasively through respiratory inductive plethysmography (RIP). 2. Performing the SBT in the prone position, in addition to the routine position (supine).

Study Type

OBSERVATIONAL

Conditions

Spontaneous Breathing Test Infants NICU

Eligibility

Sex: ALLMax age: 6 Months

Medical Language ↔ Plain English

Inclusion Criteria: * Infants who qualify for SBT as part of their normal care Exclusion Criteria: * Previous history of abdominal or chest surgery (i.e. chest tube, PDA ligation, surgical NEC) * Congenital malformation of the chest of abdomen * Neuromuscular disorder * Current medications affecting neuromuscular tone (ex morphine) * Unable to be positioned either prone or supine as determined by the attending neonatologist.

Outcomes

Primary Outcomes

Effect of prone vs supine positioning on whether an infant receives a passing score on the SBT test

SBT is a pass/fail test. The effect of prone vs supine positioning in intubated neonates on whether a spontaneous breathing test is scored pass or fail will be determined.

Time frame: 30 minutes

Secondary Outcomes

WOB indices during SBT

Determination whether prone vs supine position alters the work of breathing indices in infants while receiving a SBT

Time frame: 10 minutes

Data from ClinicalTrials.gov

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